Provider Demographics
NPI:1801877600
Name:LESNIAK-KARPIAK, KATARZYNA (PHD)
Entity type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:
Last Name:LESNIAK-KARPIAK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:104 INDIAN RUN DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-8988
Mailing Address - Country:US
Mailing Address - Phone:484-686-5582
Mailing Address - Fax:610-689-0261
Practice Address - Street 1:39 OLD SWEDE RD
Practice Address - Street 2:SUITE C
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-1852
Practice Address - Country:US
Practice Address - Phone:484-686-5582
Practice Address - Fax:610-689-0261
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPSO15548103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist