NPI 1164520755

Peter Paul Mazzella, LCSWC

Practitioner Clinical Social Worker Hot Springs, SD

Practice location

Address: 500 N. 5th St, Mhs-1, Hot Springs, SD 57747
Phone: (605) 745-2000
Fax: (605) 745-2089

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 05643 (MD)

Other Social Worker providers in South Dakota →

Registry record

NPI: 1164520755
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.