Doctor Name: | PAULINE CECERE |
NPI Number: | 1770694952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 25958 |
Business Practice Address: | 9 Albany St Cazenovia, NY - 130351201 |
Business Phone Number: | 3156553066 |
Business Fax Number: | 3156623867 |
Mailing Address: | 2929 Holmes Rd, CAZENOVIA |
State: | NY |
Postal Code: | 130359419 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 25958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |