MR. GREGORY JOSEPH PROVENZANO M.A. LPC NPI 1770794943

NPI Information

NPI: 1770794943
Provider Name: MR. GREGORY JOSEPH PROVENZANO, M.A., LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

CLIA Number: 31D0996538

Address:
3379 QUAKERBRIDGE RD STE 101
HAMILTON, NJ
ZIP 08619
Phone: (609) 439-0777
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MR. Gregory Joseph Provenzano, M.A., LPC is a professional counselor in Hamilton, NJ. MR. Gregory Joseph Provenzano, M.A., LPC NPI is 1770794943. 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:

3379 QUAKERBRIDGE RD STE 101
HAMILTON, NJ
ZIP 08619-246
Phone: (609) 439-0777

The CLIA number assigned to this NPI record is 31D0996538 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/26/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	37PC00312600	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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