Individual
ASIA PANZINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4629 BELMONT AVE, BENSALEM, PA 19020-1001
(609) 968-0185
Mailing address
4629 BELMONT AVE, BENSALEM, PA 19020-1001
(609) 968-0185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
PA
101YP2500X
Professional Counselor
Primary
PC017507
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN4305
ASSOCIATE THERAPIST WITH THRIVEWORKS
PA
Enumeration date
06/14/2022
Last updated
09/24/2024
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