Doctor Name: | RENEE CAVALLARO |
NPI Number: | 1548617632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSS, LCSW, CCDP-D |
License Number: | CW014698 |
Business Practice Address: | 1753 Kendarbren Dr Suite 612 Jamison, PA - 189291043 |
Business Phone Number: | 2157927305 |
Business Fax Number: | |
Mailing Address: | 1753 Kendarbren Dr, Suite 612 JAMISON |
State: | PA |
Postal Code: | 189291043 |
Phone Number: | 2157927305 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2016 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014698 |
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 |