Doctor Name: | MARYANN PIAZZA |
NPI Number: | 1013014026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R033709 |
Business Practice Address: | 510 Jamesville Ave Syracuse, NY - 132103701 |
Business Phone Number: | 3154502777 |
Business Fax Number: | |
Mailing Address: | 414 Newcastle Rd, SYRACUSE |
State: | NY |
Postal Code: | 132192212 |
Phone Number: | 3154502777 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R033709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |