MEDICARE: GABRIELLA MANTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC017429	PA

General Provider Information

NPI Number	:	1154086080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA MANTO

Provider Business Mailing Address
First Line	:	20 WYNNEWOOD AVE
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1344
Country	:	US
Telephone Number	:	484-793-5911
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 WYNNEWOOD AVE
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1344
Country	:	US
Telephone Number	:	484-793-5911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2021
Last Update Date	:	05/27/2026

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Directions to “ GABRIELLA MANTO ” Practice Location

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