Provider Demographics
NPI:1073604443
Name:CIONI, PATRICK F (MS MA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:F
Last Name:CIONI
Suffix:
Gender:M
Credentials:MS MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 S CAMERON AVENUE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504
Mailing Address - Country:US
Mailing Address - Phone:570-343-0234
Mailing Address - Fax:570-343-0234
Practice Address - Street 1:138 S CAMERON AVENUE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504
Practice Address - Country:US
Practice Address - Phone:570-343-0234
Practice Address - Fax:570-343-0234
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000062101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
7947379OtherAETNA