Provider Demographics
NPI:1477672376
Name:PAONE, TINA ROSETTA (PHD, NCC, LPC)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:ROSETTA
Last Name:PAONE
Suffix:
Gender:F
Credentials:PHD, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 BETHLEHEM PIKE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9710
Mailing Address - Country:US
Mailing Address - Phone:215-997-7772
Mailing Address - Fax:
Practice Address - Street 1:595 BETHLEHEM PIKE
Practice Address - Street 2:SUITE 222
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9710
Practice Address - Country:US
Practice Address - Phone:215-997-7772
Practice Address - Fax:215-434-7285
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional