Doctor Name: | DEBORAH G LYONS GENOVESI |
NPI Number: | 1154540185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | CW014747 |
Business Practice Address: | 310 Central City Plz New Kensington, PA - 150686441 |
Business Phone Number: | 7243359883 |
Business Fax Number: | 7243352730 |
Mailing Address: | 546 Ten Point Ln, CRANBERRY TWP |
State: | PA |
Postal Code: | 160664452 |
Phone Number: | 7242342803 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |