Provider Demographics
NPI:1346469764
Name:PIAZZA, BARBARA JEANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JEANNE
Last Name:PIAZZA
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 1:501 ELM AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-2312
Mailing Address - Country:US
Mailing Address - Phone:484-332-5245
Mailing Address - Fax:
Practice Address - Street 1:938 PENN AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3017
Practice Address - Country:US
Practice Address - Phone:610-372-0466
Practice Address - Fax:610-372-9142
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003911L103TS0200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist