MR. Gregory M. Banicki, M.S. ED. is a mental health counselor in Fort Wayne, IN. MR. Gregory M. Banicki, M.S. ED. NPI is 1184785693. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1910 SAINT JOE CENTER RD
FORT WAYNE, IN
ZIP 46825-000
Phone: (260) 484-5599
Fax: (260) 484-5664
The enumeration date for this NPI number is 12/12/2006 and was last updated on 7/8/2007.