Provider Demographics
NPI:1699081455
Name:WESTWOOD, CAROL BLACK (MED, MPM)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:BLACK
Last Name:WESTWOOD
Suffix:
Gender:F
Credentials:MED, MPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CORPORATE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9700
Mailing Address - Country:US
Mailing Address - Phone:724-850-7300
Mailing Address - Fax:724-850-7778
Practice Address - Street 1:1 CORPORATE CIR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9700
Practice Address - Country:US
Practice Address - Phone:724-850-7300
Practice Address - Fax:724-850-7778
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional