Mongelluzzo, Roxane
Mongelluzzo, Roxane is an sole proprietor health care provider with primary practice located at 416 S Pittsburgh St , Connellsville PA 15425-4003. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mongelluzzo, Roxane can be contacted via phone (724) 626-8420.Contact Information
Primary practice address
416 S Pittsburgh St
Connellsville PA 15425-4003
Phone: (724) 626-8420
Fax: (724) 628-0898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW008629L | Pennsylvania |
Profile Details
| NPI number | 1285690891 |
|---|---|
| LBN Legal business name | Mongelluzzo, Roxane |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Mar 11th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285690891 | NPPES |
| Pennsylvania | MEDICAID | 115676 | |
| Pennsylvania | Other | 628649 |
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