| Doctor Name: | TINA COTTONE |
| NPI Number: | 1255373213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CW014721 |
| Business Practice Address: | 14351 Kutztown Rd Fleetwood, PA - 195229273 |
| Business Phone Number: | 6109445555 |
| Business Fax Number: | 6109445551 |
| Mailing Address: | Po Box 1754, ALLENTOWN |
| State: | PA |
| Postal Code: | 181051754 |
| Phone Number: | 6107984500 |
| Fax Number: | 6107984699 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 04/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW014721 |
| 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 |