Individual
MR. GARY DONALD BREISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
825 PITTSBURGH ST, SPRINGDALE, PA 15144-1620
(724) 274-0834
Mailing address
825 PITTSBURGH ST, P.O. BOX 94, SPRINGDALE, PA 15144-1620
(724) 274-0834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003377L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018201000002
—
PA
01
—
280039
VALUE OPTIONS
PA
Enumeration date
01/20/2007
Last updated
07/08/2007
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