| Deirdre Razzi, Lcsw, Llc | |
|
207 W Plumstead Ave Lansdowne PA 19050-1120 | |
| (215) 287-4742 | |
| Not Available |
| Full Name | Deirdre Razzi, Lcsw, Llc |
|---|---|
| Speciality | Psychoanalyst |
| Location | 207 W Plumstead Ave, Lansdowne, Pennsylvania |
| Authorized Official Name and Position | Deirdre Razzi (OWNER, SOLE PRACTIONER) |
| Authorized Official Contact | 2152874742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdre Razzi, Lcsw, Llc 207 W Plumstead Ave Lansdowne PA 19050-1120 Ph: (215) 287-4742 | Deirdre Razzi, Lcsw, Llc 207 W Plumstead Ave Lansdowne PA 19050-1120 Ph: (215) 287-4742 |
| NPI Number | 1033725569 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 5597176552 |
|---|---|
| Medicare Enrollment ID | O20201123001838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033725569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Deirdre A Razzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104101203 PECOS PAC ID: 6305010893 Enrollment ID: I20111118000335 |
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