Provider Demographics
NPI:1639154420
Name:TRANIELLO, ADELE L (EDD)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:L
Last Name:TRANIELLO
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 GILDER RD
Mailing Address - Street 2:
Mailing Address - City:BOURNE
Mailing Address - State:MA
Mailing Address - Zip Code:02532-3528
Mailing Address - Country:US
Mailing Address - Phone:781-255-0070
Mailing Address - Fax:866-442-9954
Practice Address - Street 1:1500 PROVIDENCE HWY
Practice Address - Street 2:SUITE 22B
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4630
Practice Address - Country:US
Practice Address - Phone:781-255-0070
Practice Address - Fax:866-442-9954
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6607103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0523739Medicaid
MA0523739Medicaid