Basic Information
| Provider Information | |||||||||
| NPI: | 1932727955 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EMANUEL E TROIANI INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | EMANUEL TROIANI, PSY.D. | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1018 N BETHLEHEM PIKE STE A-1 | ||||||||
| Address2: | |||||||||
| City: | LOWER GWYNEDD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190022186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152335688 | ||||||||
| FaxNumber: | 6104441737 | ||||||||
| Practice Location | |||||||||
| Address1: | 1018 N BETHLEHEM PIKE STE A-1 | ||||||||
| Address2: | |||||||||
| City: | LOWER GWYNEDD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190022186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152335688 | ||||||||
| FaxNumber: | 6104441737 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2020 | ||||||||
| LastUpdateDate: | 11/16/2020 | ||||||||
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| AuthorizedOfficialLastName: | TROIANI | ||||||||
| AuthorizedOfficialFirstName: | NADINE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | BILLING AND OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4847575509 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 11/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |
No ID Information.