Colangelo, Brian Paul
Colangelo, Brian Paul is an individual health care provider with primary practice located at 401 Young Ave Ste 260B , Moorestown NJ 08057-3130. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Colangelo, Brian Paul can be contacted via phone (856) 355-7118.Contact Information
Primary practice address
401 Young Ave Ste 260B
Moorestown NJ 08057-3130
Phone: (856) 355-7118
Fax: (856) 355-7116
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37CA00097500 | New Jersey |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05390100 | New Jersey |
Profile Details
NPI number | 1114169794 |
---|---|
LBN Legal business name | Colangelo, Brian Paul |
Credentials | LCSW, CADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2009 |
Last updated | Feb 11th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114169794 | NPPES |
New Jersey | Other | 1861969218 | BRAVO |
New Jersey | Other | 3739827000 | BRAVO |
New Jersey | Other | 91003022600 | BRAVO |
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