Provenzano, Gregory Joseph

Provenzano, Gregory Joseph is an individual health care provider with primary practice located at 3379 Quakerbridge Rd Ste 101 , Hamilton NJ 08619-1246. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Provenzano, Gregory Joseph can be contacted via phone (609) 439-0777.

Contact Information

Primary practice address
3379 Quakerbridge Rd Ste 101 Hamilton NJ 08619-1246
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00312600 New Jersey

Profile Details

NPI number 1770794943
LBN Legal business name Provenzano, Gregory Joseph
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers