Healthcare Provider Details

I. General information

NPI: 1932737509
Provider Name (Legal Business Name): KIRA Y PLOSHANSKY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2617 STREET RD # 282
BENSALEM PA
19020-2864
US

IV. Provider business mailing address

2617 STREET RD # 282
BENSALEM PA
19020-2864
US

V. Phone/Fax

Practice location:
  • Phone: 856-244-1776
  • Fax:
Mailing address:
  • Phone: 856-244-1776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF001150
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: