Provider Demographics
NPI:1326243577
Name:PIECZANSKI, NYDIA LISMAN (PROF COUNSELING)
Entity Type:Individual
Prefix:DR
First Name:NYDIA
Middle Name:LISMAN
Last Name:PIECZANSKI
Suffix:
Gender:F
Credentials:PROF COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 36TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-4245
Mailing Address - Country:US
Mailing Address - Phone:202-363-1909
Mailing Address - Fax:
Practice Address - Street 1:4417 36TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4245
Practice Address - Country:US
Practice Address - Phone:202-363-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC721101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health