Doctor Name: | MR. LEE A. PICARIELLO |
NPI Number: | 1063582096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | PS-016134 |
Business Practice Address: | 503 Floral Vale Blvd Yardley, PA - 190675512 |
Business Phone Number: | 2154970240 |
Business Fax Number: | 2154970259 |
Mailing Address: | 508 Radcliffe St, BRISTOL |
State: | PA |
Postal Code: | 190075134 |
Phone Number: | 2157812642 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PS-016134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |