Paroda DeCavallas's National Provider Identifier (NPI) Details
Paroda DeCavallas, LMHC
NPI: 1669017091
Enumeration Date: 2019-11-08
Last updated: 2019-11-08
Sole Proprietor: NO
Status: active
Postal Address: 19 COMELY LN, LATHAM, NY
Phone: 518-598-3834
Primary Practice Address: 19 COMELY LN, LATHAM, NY
Practice's phone: 518-598-3834