Individual
DR. JOSEPH JUDE CIANCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
102 MACTANLY PL, STAUNTON, VA 24401-2316
(540) 886-3063
Mailing address
102 E MACTANLY PL, STAUNTON, VA 24401-2316
(540) 886-3063
(540) 886-6246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001716
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013085
BLUE CROSS BLUE SHIELD
VA
05
—
7701896
—
VA
Enumeration date
02/06/2006
Last updated
07/08/2007
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