Doctor Name: | MISS LAURIE E ETZRODT |
NPI Number: | 1093868408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSS,LCSW |
License Number: | CW014488 |
Business Practice Address: | 301 Oxford Valley Rd Ste 304a Yardley, PA - 190677709 |
Business Phone Number: | 2154938896 |
Business Fax Number: | 2153401867 |
Mailing Address: | 301 Oxford Valley Rd Ste 304a, YARDLEY |
State: | PA |
Postal Code: | 190677709 |
Phone Number: | 2154938896 |
Fax Number: | 2153401867 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |