Individual
DR. DONNA PODRAZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1096 N CHURCH ST, HAZLE TOWNSHIP, PA 18202
(570) 814-4847
(570) 814-4847
Mailing address
345 SHINGLE MILL DR, DRUMS, PA 18222-1216
(570) 814-4847
(570) 788-2287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016677
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS016677
PA
Other
Enumeration date
09/04/2009
Last updated
08/27/2018
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