Provider Demographics
NPI:1679155972
Name:PISZCZEK, NATALIA (MA, LPC, CCTP)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:PISZCZEK
Suffix:
Gender:F
Credentials:MA, LPC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4342 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:PA
Mailing Address - Zip Code:19560-1645
Mailing Address - Country:US
Mailing Address - Phone:610-790-4504
Mailing Address - Fax:
Practice Address - Street 1:1418 CLARION ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1700
Practice Address - Country:US
Practice Address - Phone:610-376-8558
Practice Address - Fax:610-376-2779
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012563101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional