Provider Demographics
NPI:1154583151
Name:PIARD- DRYE, MARJA
Entity type:Individual
Prefix:
First Name:MARJA
Middle Name:
Last Name:PIARD- DRYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8127 LESIA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5355
Mailing Address - Country:US
Mailing Address - Phone:407-466-5682
Mailing Address - Fax:
Practice Address - Street 1:8127 LESIA CIRCLE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5355
Practice Address - Country:US
Practice Address - Phone:407-466-5682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor