Provider Demographics
NPI:1013112275
Name:CANGIALOSI, FRANCESCA MARY II
Entity Type:Individual
Prefix:MS
First Name:FRANCESCA
Middle Name:MARY
Last Name:CANGIALOSI
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4724 SAM BRATTON AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-5335
Mailing Address - Country:US
Mailing Address - Phone:505-342-5950
Mailing Address - Fax:505-342-5951
Practice Address - Street 1:4903 4TH ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-3905
Practice Address - Country:US
Practice Address - Phone:505-342-5950
Practice Address - Fax:505-342-5951
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0100481101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health