Baniewicz, Michael

Baniewicz, Michael is an individual health care provider with primary practice located at 1010 W 8Th Ave Ste I , King Of Prussia PA 19406-1349. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Baniewicz, Michael can be contacted via phone (856) 346-0005.

Contact Information

Primary practice address
1010 W 8Th Ave Ste I King Of Prussia PA 19406-1349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC005164 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS018515 Pennsylvania

Profile Details

NPI number 1134519523
LBN Legal business name Baniewicz, Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2015
Last updated Nov 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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