Provider Demographics
NPI:1851518948
Name:PIERPAOLI, ANTHONY RAYMOND
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:RAYMOND
Last Name:PIERPAOLI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LONESOME SPARROW
Other - Middle Name:
Other - Last Name:PIERPAOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:592 JEAN ST
Mailing Address - Street 2:APARTMENT 203.
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1955
Mailing Address - Country:US
Mailing Address - Phone:510-385-5978
Mailing Address - Fax:
Practice Address - Street 1:205 PACIFICA AVE
Practice Address - Street 2:
Practice Address - City:BAY POINT
Practice Address - State:CA
Practice Address - Zip Code:94565-2904
Practice Address - Country:US
Practice Address - Phone:925-458-3216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor