| Doctor Name: | PATRICK J TRIGGIANO |
| NPI Number: | 1194880286 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 6301013947 |
| Business Practice Address: | N10565 Grandview Ln Ironwood, MI - 499389622 |
| Business Phone Number: | 9069321500 |
| Business Fax Number: | 9069324585 |
| Mailing Address: | N10565 Grandview Ln, IRONWOOD |
| State: | MI |
| Postal Code: | 499389622 |
| Phone Number: | 9069321500 |
| Fax Number: | 9069324585 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301013947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |