Doctor Name: | DR. BEATRICE S. LAZAROFF |
NPI Number: | 1265402234 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PS-003140-L |
Business Practice Address: | 401 Clairemont Rd Villanova, PA - 190851705 |
Business Phone Number: | 6105278537 |
Business Fax Number: | 6105666637 |
Mailing Address: | 401 Clairemont Rd, VILLANOVA |
State: | PA |
Postal Code: | 190851705 |
Phone Number: | 6105278537 |
Fax Number: | 6105666637 |
NPI Enumeration Date: | 01/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS-003140-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |