Provider Demographics
NPI:1952482911
Name:COLAPIETRO, GALE LYNN (LSW)
Entity Type:Individual
Prefix:MS
First Name:GALE
Middle Name:LYNN
Last Name:COLAPIETRO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:GALE
Other - Middle Name:LYNN
Other - Last Name:JAMES CARBONELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:400 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2727
Mailing Address - Country:US
Mailing Address - Phone:330-545-4757
Mailing Address - Fax:330-545-4757
Practice Address - Street 1:725 BOARDMAN CANFIELD RD
Practice Address - Street 2:BLD D
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512
Practice Address - Country:US
Practice Address - Phone:330-783-9690
Practice Address - Fax:330-783-9693
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker