Doctor Name: | MRS. PAMELA ROSE COSPER |
NPI Number: | 1740669183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | SW130541 |
Business Practice Address: | 334 S. Franklin St. The Robinson Counseling Center Wilkes-barre, PA - 18702 |
Business Phone Number: | 5708256425 |
Business Fax Number: | 5703010936 |
Mailing Address: | 335 S. Franklin St., Children's Service Center WILKES-BARRE |
State: | PA |
Postal Code: | 18702 |
Phone Number: | 5708256425 |
Fax Number: | 5703010936 |
NPI Enumeration Date: | 05/19/2015 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW130541 |
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 |