Provider Demographics
NPI:1255469458
Name:GIORDANO, TONI MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:MARIE
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 W CHESTER PIKE
Mailing Address - Street 2:SUITE C-4
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7778
Mailing Address - Country:US
Mailing Address - Phone:484-928-0514
Mailing Address - Fax:
Practice Address - Street 1:1515 W CHESTER PIKE
Practice Address - Street 2:SUITE C-4
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7778
Practice Address - Country:US
Practice Address - Phone:484-928-0514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004163101Y00000X
PAPS017432103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor