Provider Demographics
NPI:1528153269
Name:PFAFF, VIRGINIA MAY (MA,)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:MAY
Last Name:PFAFF
Suffix:
Gender:F
Credentials:MA,
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:MAY
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2142 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8821
Mailing Address - Country:US
Mailing Address - Phone:330-699-5999
Mailing Address - Fax:
Practice Address - Street 1:2285 BENDEN DR
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2568
Practice Address - Country:US
Practice Address - Phone:330-264-9029
Practice Address - Fax:330-263-7251
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor