Provider Demographics
NPI:1114195021
Name:NIEMIEC, PAUL ANDREW (EDD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ANDREW
Last Name:NIEMIEC
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CATHOLIC CHARITIES OF THE DIOCESE OF GREENSBURG
Mailing Address - Street 2:711 EAST PITTSBURGH STREET
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2636
Mailing Address - Country:US
Mailing Address - Phone:724-837-1840
Mailing Address - Fax:724-837-4077
Practice Address - Street 1:CATHOLIC CHARITIES OF THE DIOCESE OF GREENSBURG
Practice Address - Street 2:711 EAST PITTSBURGH STREET
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2636
Practice Address - Country:US
Practice Address - Phone:724-837-1840
Practice Address - Fax:724-837-4077
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002398101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional