Individual
DR. JAMES MICHAEL CIANCIULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1920 W MARSHALL ST, SUITE 2-D, JEFFERSONVILLE, PA 19403-3171
(215) 666-1485
(610) 630-0913
Mailing address
1920 W MARSHALL ST, SUITE 2-D, JEFFERSONVILLE, PA 19403-3171
(215) 666-1485
(610) 630-0913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC004626
PA
103TS0200X
School Psychologist
Primary
CSP67-07610046
PA
Other
Enumeration date
07/03/2007
Last updated
02/14/2011
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