Provider Demographics
| NPI: | 1962047746 |
|---|---|
| Name: | CENTER FOR GRIEF THERAPY AND EDUCATION, P.A. |
| Entity type: | Organization |
| Organization Name: | CENTER FOR GRIEF THERAPY AND EDUCATION, P.A. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | CHRISTINA |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | ZAMPITELLA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PSY D |
| Authorized Official - Phone: | 302-635-0505 |
| Mailing Address - Street 1: | 5500 SKYLINE DRIVE |
| Mailing Address - Street 2: | SUITE 4 |
| Mailing Address - City: | WILMINGTON |
| Mailing Address - State: | DE |
| Mailing Address - Zip Code: | 19808 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 302-635-0505 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5500 SKYLINE DRIVE |
| Practice Address - Street 2: | SUITE 4 |
| Practice Address - City: | WILMINGTON |
| Practice Address - State: | DE |
| Practice Address - Zip Code: | 19808 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 302-635-0505 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-11-15 |
| Last Update Date: | 2023-10-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Single Specialty |