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NPI Code Detail

MEDICARE: MRS. STEPHANIE ANNE GALLOWAY-MASLANIK LCSW, RPT-S

MEDICARE:  MRS. STEPHANIE ANNE GALLOWAY-MASLANIK  LCSW, RPT-S
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
1104100000XSocial WorkerSW123547PA
21041C0700XClinical Social WorkerCW015692PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1491062OTHERPAMH NET
212286177OTHERPACAQH
3001738891OTHERPAHIGHMARK

General Provider Information

NPI Number : 1770557282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE ANNE GALLOWAY-MASLANIK LCSW, RPT-S
Provider Business Mailing Address
First Line : 6108 WILLIAM PENN HWY
Second Line :
City : ALEXANDRIA
State : PA
Zip : 16611-2734
Country : US
Telephone Number : 814-386-0345
Fax Number :
Provider Business Practice Location Address
First Line : 1227 WARM SPRINGS AVE
Second Line : AMERICAN FAMILY C/O J.C. BLAIR MEMORIAL HOSPITAL
City : HUNTINGDON
State : PA
Zip : 16652-2300
Country : US
Telephone Number : 814-386-0345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 11/13/2014

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Directions to “ MRS. STEPHANIE ANNE GALLOWAY-MASLANIK LCSW, RPT-S” Practice Location

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