Gregory Peter Pandzic, LCSW
Social Worker, Clinical in Claremont, CA. Individual provider (NPI-1).
NPI number1669925459
StatusActive
Last updated in NPPESMar 22, 2023
Details
- NPI
- 1669925459
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory Peter Pandzic
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2016
- Certification date
- Mar 22, 2023
- Last updated
- Mar 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW105016 | CA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
235 Olive StClaremont, CA 91711-4926
Phone 909-917-3373 · Fax 909-418-6937
Mailing address
235 Olive StClaremont, CA 91711-4926
Phone 909-917-3373 · Fax 909-418-6937
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