Provider Demographics
NPI:1659665438
Name:GANEY COUNSELING & CONSULTATION, LLC
Entity Type:Organization
Organization Name:GANEY COUNSELING & CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GANEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-860-2525
Mailing Address - Street 1:660 NEWTOWN YARDLEY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1759
Mailing Address - Country:US
Mailing Address - Phone:215-860-2525
Mailing Address - Fax:215-860-3868
Practice Address - Street 1:660 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1759
Practice Address - Country:US
Practice Address - Phone:215-860-2525
Practice Address - Fax:215-860-3868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016131L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty