Provider Demographics
NPI:1821187360
Name:TRIOLO, SANTO (PHD)
Entity type:Individual
Prefix:DR
First Name:SANTO
Middle Name:
Last Name:TRIOLO
Suffix:
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 1:1501 13TH ST STE J
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2384
Mailing Address - Country:US
Mailing Address - Phone:706-322-8264
Mailing Address - Fax:706-322-5858
Practice Address - Street 1:1501 13TH ST STE J
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2384
Practice Address - Country:US
Practice Address - Phone:706-322-8264
Practice Address - Fax:706-322-5858
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA992103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist