Provider Demographics
NPI:1124531652
Name:PILTZ, DAVID ROY (MFT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ROY
Last Name:PILTZ
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 WOODBOURNE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1820
Mailing Address - Country:US
Mailing Address - Phone:215-914-4355
Mailing Address - Fax:
Practice Address - Street 1:668 WOODBOURNE RD STE 108
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-914-5344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist