Provider Demographics
NPI:1225366818
Name:SCZANIECKA, KAREN ANNA (PHD, LPC, LRC,)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNA
Last Name:SCZANIECKA
Suffix:
Gender:F
Credentials:PHD, LPC, LRC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GRENTREE CENTRE, SUITE 201
Mailing Address - Street 2:10000 LINCOLN DRIVE EAST
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-988-5500
Mailing Address - Fax:
Practice Address - Street 1:ONE GRENTREE CENTRE, SUITE 201
Practice Address - Street 2:10000 LINCOLN DRIVE EAST
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-988-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00179900101Y00000X, 106H00000X
NJ37RC00229500101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist