Deaugustino, Maria T

Deaugustino, Maria T is an sole proprietor health care provider with primary practice located at 3143 Main St Ste 3 , West Middlesex PA 16159-3419. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Deaugustino, Maria T can be contacted via phone (724) 674-1594.

Contact Information

Primary practice address
3143 Main St Ste 3 West Middlesex PA 16159-3419
Phone: (724) 674-1594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC001064 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X PC001064 Pennsylvania

Profile Details

NPI number 1831213784
LBN Legal business name Deaugustino, Maria T
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2007
Last updated Mar 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831213784 NPPES
Pennsylvania Other 110704 VALUE OPTIONS VENDOR NUMB
Pennsylvania Other 001308035 VALUE OPTIONS VENDOR NUMB
Pennsylvania Other 001578297 VALUE OPTIONS VENDOR NUMB

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