Provider Demographics
NPI:1447419254
Name:GIUGLIANO, JOHN R (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:GIUGLIANO
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3110
Mailing Address - Country:US
Mailing Address - Phone:610-453-9222
Mailing Address - Fax:
Practice Address - Street 1:17 BRYN MAWR AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3110
Practice Address - Country:US
Practice Address - Phone:610-453-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACSW-CW0133071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical