Provider Demographics
NPI:1710969514
Name:PAWLOWSKI, JANET M (RN, MA, LMFT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:PAWLOWSKI
Suffix:
Gender:F
Credentials:RN, MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 TATE RD
Mailing Address - Street 2:#112
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-6055
Mailing Address - Country:US
Mailing Address - Phone:814-824-4515
Mailing Address - Fax:
Practice Address - Street 1:9333 TATE RD
Practice Address - Street 2:#112
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-6055
Practice Address - Country:US
Practice Address - Phone:814-824-4515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006926L103TC0700X
PAMF000031106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist