Doctor Name: | ROB GIANNAMORE |
NPI Number: | 1174918171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PC 008103 |
Business Practice Address: | 38 Park Ave Albion, PA - 164011327 |
Business Phone Number: | 7244567006 |
Business Fax Number: | |
Mailing Address: | 38 Park Ave, ALBION |
State: | PA |
Postal Code: | 164011327 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/06/2015 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC 008103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |