Provider Demographics
NPI:1033409990
Name:KOTER, MARIA (LSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:KOTER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7041 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1062
Mailing Address - Country:US
Mailing Address - Phone:412-760-7282
Mailing Address - Fax:
Practice Address - Street 1:7041 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:PRESTO
Practice Address - State:PA
Practice Address - Zip Code:15142-1062
Practice Address - Country:US
Practice Address - Phone:412-760-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1269801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical