Doctor Name: | MRS. MARIE L. GIANNETTI |
NPI Number: | 1952480394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.C.S.W. |
License Number: | 111561 |
Business Practice Address: | 900 Route 134 Towne Plaza 1-6 South Dennis, MA - 026602575 |
Business Phone Number: | 5083854500 |
Business Fax Number: | 5083854577 |
Mailing Address: | 900 Route 134, Towne Plaza 1-6 SOUTH DENNIS |
State: | MA |
Postal Code: | 026602575 |
Phone Number: | 5083854500 |
Fax Number: | 5083854577 |
NPI Enumeration Date: | 11/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 111561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |