Basic Information
| Provider Information | |||||||||
| NPI: | 1164186920 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIGIULIO | ||||||||
| FirstName: | DEANNA | ||||||||
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| Credential: | MA, MHC-LP, ATR-P | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3806 MATTHEW LN | ||||||||
| Address2: | |||||||||
| City: | SEAFORD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117832038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166379229 | ||||||||
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| Practice Location | |||||||||
| Address1: | 790 PARK AVE | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117434516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314273700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2021 | ||||||||
| LastUpdateDate: | 10/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 221700000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | 101YM0800X | P109393 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.