person
Ms. Maria Lee Modzelewski, EDS
Intellectual & Developmental Disabilities Psychologist in Erie, Pennsylvania
NPI 1548981103

Maria Lee Modzelewski is a Intellectual & Developmental Disabilities Psychologist based in Erie, PA and is specialized in Intellectual & Developmental Disabilities. Maria Lee Modzelewski practices in Erie, PA and has the professional credentials of EDS. The NPI Number for Maria Lee Modzelewski is 1548981103 and holds a License No. 6086854 (Pennsylvania).

The current practice location address for Maria Lee Modzelewski is 1010 Brooks Bay Dr, Erie, PA and can be reached out via phone at 252-213-0001 and via fax at 919-693-9381. You can also correspond with Maria Lee Modzelewski through the mailing address at 307 BEVERLY DR, ERIE, PA - 16505-2205 (mailing address contact number: 814-823-5645).

Location: 1010 Brooks Bay Dr, Erie, PA, 16505-2205
person
Provider Profile Details
NPI Number
1548981103
Provider Name
Maria Lee Modzelewski
Credential
EDS
Provider Entity Type
Individual
Gender
Female
Address
1010 Brooks Bay Dr, Erie, PA, 16505-2205
Phone Number
252-213-0001
Fax Number
919-693-9381
Provider Enumeration Date
09/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6086854 01 PA COMMONWEALTH OF PENNSYLVANIA (PDE)
institution
Provider Business Practice Location Address Details
Address
1010 Brooks Bay Dr
City
State
Zip
16505-5706
Phone Number
252-213-0001
Fax Number
919-693-9381
person
Provider Business Mailing Address Details
Address
1010 Brooks Bay Dr
City
State
Zip
16505-5706
Phone Number
252-213-0001
Fax Number
919-693-9381
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
6086854 (Pennsylvania)
Definition
Definition to come...
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