| Doctor Name: | DAWN DECICCO |
| NPI Number: | 1013153626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN |
| License Number: | RN531625 |
| Business Practice Address: | 111 Hazel Ln Sewickley, PA - 151431253 |
| Business Phone Number: | 4127497330 |
| Business Fax Number: | |
| Mailing Address: | 111 Hazel Ln, SEWICKLEY |
| State: | PA |
| Postal Code: | 151431253 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2009 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RN531625 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |