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Individual

DR. CRAIG NEVIN PISO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
312 E ORIOLE DR, LARKSVILLE, PA 18704-1617
(570) 239-3114
Mailing address
312 E ORIOLE DR, LARKSVILLE, PA 18704-1617
(570) 239-3114

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004245
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018528650003
PA
Enumeration date
05/24/2009
Last updated
05/24/2009
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