Edward Banasiak, PH.D.
NPI #1730399767 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1730399767
- Entity Type
- Individual
- Name
- Edward Banasiak, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- PH.D.
- Enumeration Date
- May 22, 2007
- Last Updated
- Mar 4, 2010
Practice Location
- Address
- 570 LEE ST
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-3053
- Phone
- (732) 442-1666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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