Healthcare Provider Details

I. General information

NPI: 1336400308
Provider Name (Legal Business Name): MR. PETER JOSEPH GIACALONE V
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 FORBES AVE STE 235
PITTSBURGH PA
15217-1725
US

IV. Provider business mailing address

6301 FORBES AVE STE 235
PITTSBURGH PA
15217-1725
US

V. Phone/Fax

Practice location:
  • Phone: 412-212-8443
  • Fax:
Mailing address:
  • Phone: 412-212-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: