Doctor Name: | PETER JOHN TRIOLO |
NPI Number: | 1568595262 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYCHOTHERAPIST |
License Number: | 37F100129100 |
Business Practice Address: | 4 Hampton Hollow Dr Perrineville, NJ - 085351002 |
Business Phone Number: | 6094488141 |
Business Fax Number: | |
Mailing Address: | 4 Hampton Hollow Dr, PERRINEVILLE |
State: | NJ |
Postal Code: | 085351002 |
Phone Number: | 6094484134 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37F100129100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |