Doctor Name: | MS. ROBERTA A CAMUSO |
NPI Number: | 1134217599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA NCC LPC |
License Number: | PC001291 |
Business Practice Address: | 101 N Main St Du Bois, PA - 158011894 |
Business Phone Number: | 8145919038 |
Business Fax Number: | 8143755582 |
Mailing Address: | 70 Blue Jay Dr, DU BOIS |
State: | PA |
Postal Code: | 158018715 |
Phone Number: | 8143752393 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC001291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |