Provider Demographics
NPI:1407126667
Name:SCARDINO, PAOLA (MS)
Entity Type:Individual
Prefix:MS
First Name:PAOLA
Middle Name:
Last Name:SCARDINO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HAWTHORN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-1114
Mailing Address - Country:US
Mailing Address - Phone:857-413-1544
Mailing Address - Fax:
Practice Address - Street 1:45 MERRIMACK ST STE 200
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1714
Practice Address - Country:US
Practice Address - Phone:978-459-2306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health