| NPI | 1629374137 |
|---|---|
| Professional Name | PAUL PANZA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2358) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 06-R-22) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2013-12-04 |