Provider Demographics
NPI:1669747044
Name:GIGLIOTTI, ELLEN JW (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:JW
Last Name:GIGLIOTTI
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 1:401 BRADLEY LN
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-8406
Mailing Address - Country:US
Mailing Address - Phone:717-377-0869
Mailing Address - Fax:
Practice Address - Street 1:145 E KING ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1806
Practice Address - Country:US
Practice Address - Phone:717-377-0869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-18
Last Update Date:2012-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000578106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist