Provider Information for 1376825125
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Ms. DANA RENEE PIERGIOVANNI MA, LPC, BCBA
Sex: Female
NPI: 1376825125
Last Updated: 2024-07-03
Certification Date: 2024-07-03
Certification Date: 2024-07-03
Details
| Name | Value | ||||||||||||
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| NPI | 1376825125 | ||||||||||||
| Enumeration Date | 2011-09-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 225 JEFFERSON ST BRIDGEPORT, PA 19405-1726 United States Phone: 610-213-4073 | Fax: | ||||||||||||
| Primary Practice Address | 225 JEFFERSON ST BRIDGEPORT, PA 19405-1726 United States Phone: 610-213-4073 | Fax: | ||||||||||||
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