Provider Demographics
NPI:1073696779
Name:VIGLIOTTI, ELIZABETH D (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:D
Last Name:VIGLIOTTI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 B 2 WHITES PATH
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664
Mailing Address - Country:US
Mailing Address - Phone:508-394-6500
Mailing Address - Fax:508-362-6967
Practice Address - Street 1:23 B 2 WHITES PATH
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664
Practice Address - Country:US
Practice Address - Phone:508-394-6500
Practice Address - Fax:508-362-6967
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4835101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0774OtherBLUE CROSS BLUE SHIELD
MA459249OtherTUFTS
MAB6212C87BBOtherTRICARE