NPI 1134519523

Michael Baniewicz, PSYD

Practitioner Clinical Neuropsychologist King of Prussia, PA

Practice location

Address: 1010 W 8th Ave STE I, King of Prussia, PA 19406-1349
Phone: (856) 346-0005

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PS018515 (PA)

Other Clinical Neuropsychologist providers in Pennsylvania →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence PC005164 (PA)

Other Counselor providers in Pennsylvania →

Registry record

NPI: 1134519523
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2015
Record last updated: 22 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.