Individual
KRISTA PUGLIESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 WASHINGTON RD STE 500, MT LEBANON, PA 15228-1926
(412) 343-6416
Mailing address
615 WASHINGTON RD STE 500, MT LEBANON, PA 15228-1926
(412) 343-6416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019641
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS019641
STATE LICENSE
PA
Enumeration date
09/18/2024
Last updated
09/18/2024
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