Provider Demographics
NPI:1063428985
Name:PIETRUSZKA, HONEY HARRIET (PSYD)
Entity type:Individual
Prefix:
First Name:HONEY
Middle Name:HARRIET
Last Name:PIETRUSZKA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19234 VANOWEN ST
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-5000
Mailing Address - Country:US
Mailing Address - Phone:310-278-1933
Mailing Address - Fax:310-385-8747
Practice Address - Street 1:19234 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-5000
Practice Address - Country:US
Practice Address - Phone:310-278-1933
Practice Address - Fax:310-385-8747
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY #199522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry