Provider Demographics
NPI:1417005166
Name:KRAUSZ, GREGORY A (MA, CAADC, LPC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:A
Last Name:KRAUSZ
Suffix:
Gender:M
Credentials:MA, CAADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 DELAWARE AVE
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1174
Mailing Address - Country:US
Mailing Address - Phone:610-317-0503
Mailing Address - Fax:610-419-3309
Practice Address - Street 1:826 DELAWARE AVE
Practice Address - Street 2:FLOOR 1
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1174
Practice Address - Country:US
Practice Address - Phone:610-317-0503
Practice Address - Fax:610-419-3309
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002319101YP2500X, 101Y00000X, 101YM0800X, 101YP1600X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)