Pezzulo, Daniel J

Pezzulo, Daniel J is an individual health care provider with primary practice located at 154 Esther Dr , Lancaster PA 17601-2047. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Pezzulo, Daniel J can be contacted via phone (717) 413-2731.

Contact Information

Primary practice address
154 Esther Dr Lancaster PA 17601-2047
Phone: (717) 413-2731
Fax: (717) 413-2731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 04043671 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW012774 Pennsylvania

Profile Details

NPI number 1992789531
LBN Legal business name Pezzulo, Daniel J
Credentials PHD, ABSNP, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Sep 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992789531 NPPES
Pennsylvania Other 627225 BLUE SHIELD

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