Provider Demographics
NPI:1417286964
Name:GIORGIANNI, PATRICIA F (MED, LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:F
Last Name:GIORGIANNI
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HADLEY AVENUE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753
Mailing Address - Country:US
Mailing Address - Phone:848-251-2462
Mailing Address - Fax:848-251-2461
Practice Address - Street 1:20 HADLEY AVENUE
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753
Practice Address - Country:US
Practice Address - Phone:848-251-2462
Practice Address - Fax:848-251-2461
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1760569480Medicaid