Provider Information for 1154163756
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Dr. GABRIEL STANZIANO PsyD, LPC
Sex: Male
NPI: 1154163756
Last Updated: 2024-06-12
Certification Date: 2024-06-12
Certification Date: 2024-06-12
Details
| Name | Value | ||||||||
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| NPI | 1154163756 | ||||||||
| Enumeration Date | 2024-06-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 600 W SPRINGFIELD RD SPRINGFIELD, PA 19064-1626 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 600 W SPRINGFIELD RD SPRINGFIELD, PA 19064-1626 United States Phone: 732-814-7583 | Fax: | ||||||||
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