Provider Demographics
NPI:1154531002
Name:NUZZO, CHIARA LINDA (PHD)
Entity type:Individual
Prefix:DR
First Name:CHIARA
Middle Name:LINDA
Last Name:NUZZO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7219 DEVON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1709
Mailing Address - Country:US
Mailing Address - Phone:267-992-6956
Mailing Address - Fax:
Practice Address - Street 1:7219 DEVON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1709
Practice Address - Country:US
Practice Address - Phone:267-992-6956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008221L103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent