Provider Demographics
NPI:1912295395
Name:VALIMONT, CYNTHIA (LSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:VALIMONT
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 1:18955 PARK AVENUE PLZ
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-4015
Mailing Address - Country:US
Mailing Address - Phone:814-440-7116
Mailing Address - Fax:814-336-4255
Practice Address - Street 1:18955 PARK AVENUE PLZ
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-4015
Practice Address - Country:US
Practice Address - Phone:814-440-7116
Practice Address - Fax:814-336-4255
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125729104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker