Individual
DR. DOMENICO CHIARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
100 STATE ST, SUITE 202, ERIE, PA 16507-1453
(814) 480-8797
(814) 459-2303
Mailing address
100 STATE ST, SUITE 202, ERIE, PA 16507-1453
(814) 480-8797
(814) 459-2303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
5046
OH
103TC0700X
Clinical Psychologist
Primary
PS008395 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008980110001
—
PA
Enumeration date
07/20/2006
Last updated
07/09/2007
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