Provider Demographics
NPI:1306971304
Name:PIASECZNA, PATRYCJA EWA
Entity type:Individual
Prefix:
First Name:PATRYCJA
Middle Name:EWA
Last Name:PIASECZNA
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 1:175 JOHNSON AVE APT 9E
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3447
Mailing Address - Country:US
Mailing Address - Phone:609-530-0329
Mailing Address - Fax:
Practice Address - Street 1:175 JOHNSON AVE
Practice Address - Street 2:9E
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3453
Practice Address - Country:US
Practice Address - Phone:609-530-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker