MEDICARE: STEPHANY PANZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1578496733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANY PANZA

Provider Business Mailing Address
First Line	:	146 ELMONT ST FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-3629
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 ELMONT ST FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-3629
Country	:	US
Telephone Number	:	301-272-4091
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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Directions to “ STEPHANY PANZA ” Practice Location

Language	Start Address	Practice Location

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