Provider Demographics
NPI:1720201346
Name:GIOIELLA, PETER P JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:P
Last Name:GIOIELLA
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-2402
Mailing Address - Country:US
Mailing Address - Phone:203-846-9155
Mailing Address - Fax:203-846-9155
Practice Address - Street 1:94 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5024
Practice Address - Country:US
Practice Address - Phone:203-434-2686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT836103T00000X
NY6496103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist