Provider Demographics
NPI:1700952538
Name:SCHOLLAERT, RONDA LYNN (LSW)
Entity Type:Individual
Prefix:MS
First Name:RONDA
Middle Name:LYNN
Last Name:SCHOLLAERT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 ROUTE 481
Mailing Address - Street 2:
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-3412
Mailing Address - Country:US
Mailing Address - Phone:724-239-2334
Mailing Address - Fax:
Practice Address - Street 1:1490 ROUTE 481
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-3412
Practice Address - Country:US
Practice Address - Phone:724-239-2334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124639104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker