Provider Demographics
NPI:1144545914
Name:ANUSZEWSKI, CHAD JOHN (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:JOHN
Last Name:ANUSZEWSKI
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:PECKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18452-2243
Mailing Address - Country:US
Mailing Address - Phone:570-351-4264
Mailing Address - Fax:
Practice Address - Street 1:540 HICKORY ST
Practice Address - Street 2:
Practice Address - City:PECKVILLE
Practice Address - State:PA
Practice Address - Zip Code:18452-2243
Practice Address - Country:US
Practice Address - Phone:570-351-4264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional