Provider Demographics
NPI:1558827543
Name:PIONATI, GLORIANNA MARIE (EDDCP)
Entity Type:Individual
Prefix:
First Name:GLORIANNA
Middle Name:MARIE
Last Name:PIONATI
Suffix:
Gender:F
Credentials:EDDCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 FLORINE LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-1062
Mailing Address - Country:US
Mailing Address - Phone:323-360-8979
Mailing Address - Fax:
Practice Address - Street 1:312 FLORINE LN
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-1062
Practice Address - Country:US
Practice Address - Phone:323-360-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011042101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PC011042OtherPA BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS