Individual
MISS JANELLE GAITERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 WASHINGTON ST, EDWARDSVILLE, PA 18704-1540
(570) 817-1388
Mailing address
87 WASHINGTON ST, EDWARDSVILLE, PA 18704-1540
(570) 817-1388
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2708317
PA
252Y00000X
Early Intervention Provider Agency
Primary
2708317
PA
Other
Enumeration date
10/28/2025
Last updated
03/31/2026
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