Provider Demographics
NPI:1336902287
Name:CIGNARELLA, STEPHANIE (MA, CAS, NCSP, ABSNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:CIGNARELLA
Suffix:
Gender:F
Credentials:MA, CAS, NCSP, ABSNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 INDUSTRIAL PARK RD STE 2
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2439
Mailing Address - Country:US
Mailing Address - Phone:610-504-6122
Mailing Address - Fax:610-365-2506
Practice Address - Street 1:299 INDUSTRIAL PARK RD STE 2
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2439
Practice Address - Country:US
Practice Address - Phone:610-504-6122
Practice Address - Fax:610-365-2506
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA5016494103TS0200X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional