Provider Demographics
NPI:1497026561
Name:STANZIANO, GINA
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:STANZIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 N HIGHLAND AVE
Mailing Address - Street 2:APT 26
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1659
Mailing Address - Country:US
Mailing Address - Phone:316-708-9293
Mailing Address - Fax:
Practice Address - Street 1:1141 N HIGHLAND AVE
Practice Address - Street 2:APT 26
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1659
Practice Address - Country:US
Practice Address - Phone:316-708-9293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-22
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor