Provider Demographics
NPI:1467187724
Name:ANGIOLIERI, TERESA LYNN
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:LYNN
Last Name:ANGIOLIERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 MEADOW VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1446
Mailing Address - Country:US
Mailing Address - Phone:724-996-7008
Mailing Address - Fax:
Practice Address - Street 1:100 BRUGH AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-6428
Practice Address - Country:US
Practice Address - Phone:724-284-4990
Practice Address - Fax:724-284-9441
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional