Provider Demographics
NPI:1760467690
Name:SCAGLIONE, PIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PIA
Middle Name:
Last Name:SCAGLIONE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:PIA
Other - Middle Name:
Other - Last Name:BERG-SONNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:101 BERGEN ST
Mailing Address - Street 2:APT. 2F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6327
Mailing Address - Country:US
Mailing Address - Phone:718-237-0348
Mailing Address - Fax:
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:KINGS COUNTY HOSPITAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2057
Practice Address - Country:US
Practice Address - Phone:718-245-2520
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015626-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical