Provider Demographics
NPI:1275137127
Name:BASCIANI, GINA N (MA, LPC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:N
Last Name:BASCIANI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 PRICE ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-2129
Mailing Address - Country:US
Mailing Address - Phone:484-883-4344
Mailing Address - Fax:
Practice Address - Street 1:790 E MARKET ST STE 370
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4806
Practice Address - Country:US
Practice Address - Phone:484-883-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005359101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional