Provider Demographics
NPI:1811099237
Name:DRILL, LARRY JAMES (MSW, MPH)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:JAMES
Last Name:DRILL
Suffix:
Gender:M
Credentials:MSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:77 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:PA
Mailing Address - Zip Code:15345-1015
Mailing Address - Country:US
Mailing Address - Phone:724-267-3881
Mailing Address - Fax:412-365-4779
Practice Address - Street 1:7180 HIGHLAND DRIVE
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-365-5137
Practice Address - Fax:412-365-4779
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW001186E1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical