Doctor Name: | JULIE ANNA WOJTASZEK |
NPI Number: | 1245573658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | PC006853 |
Business Practice Address: | 70 2nd St Suite A Brookville, PA - 158251556 |
Business Phone Number: | 8148492844 |
Business Fax Number: | 8148493425 |
Mailing Address: | 70 2nd St, Suite A BROOKVILLE |
State: | PA |
Postal Code: | 158251556 |
Phone Number: | 8148492844 |
Fax Number: | 8148493425 |
NPI Enumeration Date: | 04/03/2013 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC006853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |