Provider Demographics
NPI:1407816671
Name:DRUCIS, KRIS OLIVER (MS)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:OLIVER
Last Name:DRUCIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 ENGELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3304
Mailing Address - Country:US
Mailing Address - Phone:412-835-3542
Mailing Address - Fax:
Practice Address - Street 1:414 GRANT ST
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1231
Practice Address - Country:US
Practice Address - Phone:412-741-7430
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMFOOO186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist