Provider Demographics
NPI:1205187812
Name:GIALANELLA, CATHERINE MARGARET (FITTERS 0F2375)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARGARET
Last Name:GIALANELLA
Suffix:
Gender:F
Credentials:FITTERS 0F2375
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:HARVEYS LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:18618-3240
Mailing Address - Country:US
Mailing Address - Phone:570-639-5888
Mailing Address - Fax:570-639-5260
Practice Address - Street 1:3126 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:HARVEYS LAKE
Practice Address - State:PA
Practice Address - Zip Code:18618-3240
Practice Address - Country:US
Practice Address - Phone:570-674-3998
Practice Address - Fax:570-639-5260
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF02375237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF02375OtherPENNSYLVANIA DEPARTMENT OF HEALTH
PAF02375OtherHEARING HEALTH PROVIDER