MS. Trista D Piccola, PHD, LISW-S

NPI #1891005161 in North Olmsted, Ohio

Provider Information

NPI Number: 1891005161
Entity Type: Individual
Name: MS. Trista D Piccola, PHD, LISW-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: PHD, LISW-S
Enumeration Date: Oct 20, 2010
Last Updated: Dec 13, 2010

Practice Location

Address: 26777 LORAIN ROAD
Address 2: SUITE 308
City: North Olmsted
State: Ohio
ZIP Code: 44070
Phone: (440) 716-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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