Individual provider · Type 1 NPI

Edward Banasiak, PhD

Professional Counselor · Perth Amboy, NJ

NPI number 1730399767 Active

Practice location

570 Lee St
Perth Amboy, NJ 08861-3053

Call (732) 442-1666 Map

Mailing address

166 Wild Dunes Way
Jackson, NJ 08527-4051

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00189600 (NJ)

Professional Counselor: Definition to come...

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About NPI 1730399767

Edward Banasiak, PhD's National Provider Identifier is 1730399767, issued on May 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Perth Amboy, NJ. The record was last updated on Mar 4, 2010.