Lisa Fettinger Pezzolla
Rehabilitation Counselor
334 Krumkill Road
Slingerlands
, New York 12159-9303
Lisa Fettinger Pezzolla
Rehabilitation Counselor
334 Krumkill Road
Slingerlands
, New York 12159-9303
(518) 872-9890
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Lisa Fettinger Pezzolla
- 1310 Knox Cave Road
- Delanson, NY
- Zip : 12053
- Phone : (518) 872-9890
Second Address
- Lisa Fettinger Pezzolla
- 334 Krumkill Road
- Slingerlands, NY
- Zip : 12159-9303
- Phone : (518) 459-0750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1083706634 |
|---|---|
| Provider Name | Lisa Fettinger Pezzolla |
| First Address | Delanson, NY 12053 |
| Second Address | Slingerlands, NY 12159-9303 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.