Provider Demographics
NPI:1437175205
Name:TANCZOS, LAURA ANN (LSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:TANCZOS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:FISCHER-TANCZOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:8041 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1079
Mailing Address - Country:US
Mailing Address - Phone:412-231-0334
Mailing Address - Fax:412-829-0361
Practice Address - Street 1:201 PENN CENTER BLVD
Practice Address - Street 2:SUITE 555
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5435
Practice Address - Country:US
Practice Address - Phone:412-231-0334
Practice Address - Fax:412-829-0361
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011220L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker