Provider Demographics
NPI:1093839383
Name:CAPPELLETTI, GIULIO JOHN (MA)
Entity Type:Individual
Prefix:MR
First Name:GIULIO
Middle Name:JOHN
Last Name:CAPPELLETTI
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 12TH ST
Mailing Address - Street 2:SUITE 222
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3279
Mailing Address - Country:US
Mailing Address - Phone:304-233-2550
Mailing Address - Fax:304-233-2550
Practice Address - Street 1:40 12TH ST
Practice Address - Street 2:SUITE 222
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3279
Practice Address - Country:US
Practice Address - Phone:304-233-2550
Practice Address - Fax:304-233-2550
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV598101YP2500X
OHE-438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional