Provider Demographics
NPI:1417647421
Name:SANTELLI, NADENE
Entity Type:Individual
Prefix:
First Name:NADENE
Middle Name:
Last Name:SANTELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CRAB ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-9735
Mailing Address - Country:US
Mailing Address - Phone:724-469-2334
Mailing Address - Fax:
Practice Address - Street 1:109 CRAB ORCHARD CT
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:PA
Practice Address - Zip Code:15071-9735
Practice Address - Country:US
Practice Address - Phone:724-469-2334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor