Provider Demographics
NPI:1144763988
Name:THE WASHINGTON HOSPITAL CHILDREN'S THERAPY CENTER
Entity Type:Organization
Organization Name:THE WASHINGTON HOSPITAL CHILDREN'S THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAGANO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-953-1948
Mailing Address - Street 1:161 COWAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1911
Mailing Address - Country:US
Mailing Address - Phone:201-953-1948
Mailing Address - Fax:724-579-1027
Practice Address - Street 1:1000 WATERDAM PLAZA DR
Practice Address - Street 2:SUITE 120
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5427
Practice Address - Country:US
Practice Address - Phone:724-942-6125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW133394251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health