Healthcare Provider Details

I. General information

NPI: 1972468122
Provider Name (Legal Business Name): STEPHANIE ANN RONZANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6258 SCHANTZ RD
ALLENTOWN PA
18104-9049
US

IV. Provider business mailing address

6258 SCHANTZ RD
ALLENTOWN PA
18104-9049
US

V. Phone/Fax

Practice location:
  • Phone: 610-737-5461
  • Fax:
Mailing address:
  • Phone: 610-737-5461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC018654
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: