Provider Demographics
NPI:1568595262
Name:TRIOLO, PETER JOHN (PSYCHOTHERAPIST)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:JOHN
Last Name:TRIOLO
Suffix:
Gender:M
Credentials:PSYCHOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HAMPTON HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PERRINEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08535-1002
Mailing Address - Country:US
Mailing Address - Phone:609-448-4134
Mailing Address - Fax:
Practice Address - Street 1:4 HAMPTON HOLLOW DR
Practice Address - Street 2:
Practice Address - City:PERRINEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08535-1002
Practice Address - Country:US
Practice Address - Phone:609-448-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100129100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37F100129100OtherMARRIAGE AND FAMILY THERA
NJ37PC00164700OtherPROFESSIONAL COUNSELOR