Provider Demographics
NPI:1205098209
Name:MAZARIN-STANEK, KAREN (MA)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:MAZARIN-STANEK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 MYANO LN # 1
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-4535
Mailing Address - Country:US
Mailing Address - Phone:203-323-9290
Mailing Address - Fax:
Practice Address - Street 1:53 MYANO LN # 1
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-4535
Practice Address - Country:US
Practice Address - Phone:203-323-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist