Provider Demographics
NPI:1760738116
Name:DELLI CARPINI, ANTONIETTA GIACOMA TANIA (LPC)
Entity Type:Individual
Prefix:
First Name:ANTONIETTA
Middle Name:GIACOMA TANIA
Last Name:DELLI CARPINI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 YORK RD.
Mailing Address - Street 2:# 101
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974
Mailing Address - Country:US
Mailing Address - Phone:215-394-8625
Mailing Address - Fax:
Practice Address - Street 1:19 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3913
Practice Address - Country:US
Practice Address - Phone:203-624-2146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004178101YP2500X
CAIMF#66375106H00000X
PA012270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist