Provider Demographics
NPI:1912441791
Name:PRANNO, ELO
Entity Type:Individual
Prefix:MS
First Name:ELO
Middle Name:
Last Name:PRANNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W BEAVER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-1547
Mailing Address - Country:US
Mailing Address - Phone:724-699-6538
Mailing Address - Fax:855-874-5395
Practice Address - Street 1:101 W BEAVER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-1547
Practice Address - Country:US
Practice Address - Phone:724-699-6538
Practice Address - Fax:855-874-5395
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0193241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical