| Doctor Name: | KATHLEEN DZURA |
| NPI Number: | 1184059065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 8 North St Apt A Canonsburg, PA - 153171251 |
| Business Phone Number: | 7242636635 |
| Business Fax Number: | |
| Mailing Address: | 8 North St, Apt A CANONSBURG |
| State: | PA |
| Postal Code: | 153171251 |
| Phone Number: | 7242636635 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2013 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |