Doctor Name: | MR. GERALD THOMAS SZYMANSKI |
NPI Number: | 1013959139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LPC, LISAC |
License Number: | LISAC-10674 |
Business Practice Address: | 1017 S Laguna Ave Parker, AZ - 853444945 |
Business Phone Number: | 9286696906 |
Business Fax Number: | 9286696909 |
Mailing Address: | 1017 S Laguna Ave, PARKER |
State: | AZ |
Postal Code: | 853444945 |
Phone Number: | 9286696906 |
Fax Number: | 9286696909 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LISAC-10674 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |