Healthcare Provider Details

I. General information

NPI: 1942062310
Provider Name (Legal Business Name): ANNE MARIE PIOTROWSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE MARIE PALLETT LPC

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 PEDDLERS VLG UNIT 10
LAHASKA PA
18931-2000
US

IV. Provider business mailing address

PO BOX 10
LAHASKA PA
18931-0010
US

V. Phone/Fax

Practice location:
  • Phone: 215-429-1473
  • Fax:
Mailing address:
  • Phone: 215-429-1473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC014912
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: