Provider Demographics
NPI:1629114632
Name:PAOLETTA PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:PAOLETTA PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:724-662-7202
Mailing Address - Street 1:1268 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1370
Mailing Address - Country:US
Mailing Address - Phone:814-437-5770
Mailing Address - Fax:814-432-6688
Practice Address - Street 1:300 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1053
Practice Address - Country:US
Practice Address - Phone:814-437-5770
Practice Address - Fax:814-432-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001874101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty