Diana Pivenshteyn
Adult Companion in Southampton, PA. Individual provider (NPI-1).
NPI number1194366351
StatusActive
Last updated in NPPESSep 30, 2019
Details
- NPI
- 1194366351
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diana Pivenshteyn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2019
- Last updated
- Sep 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
505 Lakeside ParkSouthampton, PA 18966-4078
Phone 215-768-9244
Mailing address
505 Lakeside ParkSouthampton, PA 18966-4078
Phone 215-768-9244
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