MARIA L MODZELEWSKI, ED.S. ERIE, PA

Contact Information

MARIA L MODZELEWSKI, ED.S.

1010 BROOKS BAY DR
ERIE, PA 16505-5706

Phone: 252-213-0001
Fax: 919-693-9381
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for MARIA L MODZELEWSKI · (Female)

NPI #	`1548981103`
Status	Active
Credentials	ED.S.
Entity	Individual
Enumeration date	09/12/2022
Last updated	09/12/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	PA License # 6086854 PA Other 6086854 COMMONWEALTH OF PENNSYLVANIA (PDE)
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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