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NPI Code Detail

MEDICARE: MRS. MARIANN R GATTELARO M.S.

MEDICARE: MRS. MARIANN R GATTELARO M.S.
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
1101YS0200XSchool CounselorNY
2225C00000XRehabilitation CounselorNY
3101YM0800XMental Health Counselor74489TX

General Provider Information

NPI Number : 1295967040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIANN R GATTELARO M.S.
Provider Business Mailing Address
First Line : 5805 DORSET DR
Second Line :
City : PLANO
State : TX
Zip : 75093-7850
Country : US
Telephone Number : 214-551-8587
Fax Number :
Provider Business Practice Location Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2009
Last Update Date : 11/03/2022

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