Provider Demographics
NPI:1437428182
Name:GIGLIOTTI, GLORIA MARIE (BA MS)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:MARIE
Last Name:GIGLIOTTI
Suffix:
Gender:F
Credentials:BA MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18407-2422
Mailing Address - Country:US
Mailing Address - Phone:570-947-4084
Mailing Address - Fax:
Practice Address - Street 1:718 SOUTH STATE STREET
Practice Address - Street 2:CAREGIVERS OF AMERICA
Practice Address - City:CLSARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411
Practice Address - Country:US
Practice Address - Phone:570-586-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst