Provider Demographics
NPI:1497883003
Name:GIUNTA, CAROLE (PHD)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:GIUNTA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1524
Mailing Address - Country:US
Mailing Address - Phone:301-565-0093
Mailing Address - Fax:301-565-3754
Practice Address - Street 1:1430 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1524
Practice Address - Country:US
Practice Address - Phone:301-565-0093
Practice Address - Fax:301-565-3754
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2944103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR95330Medicare UPIN
MDG01750C02Medicare ID - Type Unspecified