Provider Demographics
NPI:1578966487
Name:GOLFETTO, CARLOS (LPC)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:GOLFETTO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DENNISTON ST APT 204
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4040
Mailing Address - Country:US
Mailing Address - Phone:412-779-7078
Mailing Address - Fax:
Practice Address - Street 1:100 DENNISTON ST APT 204
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4040
Practice Address - Country:US
Practice Address - Phone:412-779-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007864103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst