Provider Demographics
NPI:1649812173
Name:CHIARAVALLE, KERRIANN M (LMFT)
Entity type:Individual
Prefix:
First Name:KERRIANN
Middle Name:M
Last Name:CHIARAVALLE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 OVERHILL RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-2338
Mailing Address - Country:US
Mailing Address - Phone:914-450-6384
Mailing Address - Fax:
Practice Address - Street 1:53 OVERHILL RD
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-2338
Practice Address - Country:US
Practice Address - Phone:914-450-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist