Individual
MS. LAURA PIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 613-1000
Mailing address
1710 S 11TH ST, PHILADELPHIA, PA 19148-1602
(215) 617-8133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23822
PA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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