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
Phone: (856) 346-0005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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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