Doctor Name: | DEAN PAUL MONTELEONE |
NPI Number: | 1205100955 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC003742 |
Business Practice Address: | 196 Franklin Ave Brookville, PA - 158251164 |
Business Phone Number: | 4126419528 |
Business Fax Number: | 4123011766 |
Mailing Address: | 196 Franklin Ave, BROOKVILLE |
State: | PA |
Postal Code: | 158251164 |
Phone Number: | 4126419528 |
Fax Number: | 4123011766 |
NPI Enumeration Date: | 02/28/2012 |
NPI Last Update Date: | 02/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC003742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |