Doctor Name: | LAURA LEE GIANNUZZI |
NPI Number: | 1265659502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PC004108 |
Business Practice Address: | 456 N Pitt St Mercer, PA - 161371129 |
Business Phone Number: | 7246627202 |
Business Fax Number: | 7246627208 |
Mailing Address: | 553 Old Beech Rd, GROVE CITY |
State: | PA |
Postal Code: | 161277909 |
Phone Number: | 7246627202 |
Fax Number: | 7246627208 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |