Provider Demographics
NPI:1114199429
Name:MAOLA, KRISTA FELICE (MS ED)
Entity Type:Individual
Prefix:MISS
First Name:KRISTA
Middle Name:FELICE
Last Name:MAOLA
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:131 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1628
Mailing Address - Country:US
Mailing Address - Phone:814-535-2277
Mailing Address - Fax:814-536-5431
Practice Address - Street 1:220 S THOMAS ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1760
Practice Address - Country:US
Practice Address - Phone:814-623-1212
Practice Address - Fax:814-623-6006
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health