Provider Demographics
NPI:1710283437
Name:GIANNETTI, VINCENT J (PHD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:J
Last Name:GIANNETTI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 SAINT LEONARDS LN
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6851
Mailing Address - Country:US
Mailing Address - Phone:412-977-3780
Mailing Address - Fax:
Practice Address - Street 1:103 BRILLIANT AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:ASPINWALL
Practice Address - State:PA
Practice Address - Zip Code:15215-3119
Practice Address - Country:US
Practice Address - Phone:412-977-3780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004514L103T00000X, 103TA0400X
103TB0200X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling