Provider Demographics
NPI:1609141753
Name:PROJANSKY, STEPHEN P (LPC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:P
Last Name:PROJANSKY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2808
Mailing Address - Country:US
Mailing Address - Phone:860-748-5893
Mailing Address - Fax:
Practice Address - Street 1:90 MOHAWK DR
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2808
Practice Address - Country:US
Practice Address - Phone:860-748-5893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004594101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional