Provider Demographics
NPI:1972744076
Name:CIGOLINI DEPIETRO, GLORIA C (MS, ATR, LCAT)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:C
Last Name:CIGOLINI DEPIETRO
Suffix:
Gender:F
Credentials:MS, ATR, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GRANDMOUR DR
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-2100
Mailing Address - Country:US
Mailing Address - Phone:845-758-3242
Mailing Address - Fax:
Practice Address - Street 1:33 GRANDMOUR DR
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-2100
Practice Address - Country:US
Practice Address - Phone:845-758-3242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001171-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health