Individual
KIERAN GIOVANNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSEDPSYCHOLOGIST
Contact information
Practice address
712 SOUTH AVE, WILKINSBURG, PA 15221-2940
(412) 731-9707
Mailing address
107 ENDRESS DR, ZELIENOPLE, PA 16063-1408
(724) 452-1079
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS003728L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS003728L
PSYCHOLOGIST LICENSE
PA
Enumeration date
07/12/2006
Last updated
07/08/2007
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