Provider Demographics
NPI:1306998075
Name:GIGLIO, VALERIE ANN (MA)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ANN
Last Name:GIGLIO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1123
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06890-2123
Mailing Address - Country:US
Mailing Address - Phone:203-259-1146
Mailing Address - Fax:
Practice Address - Street 1:57 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:CT
Practice Address - Zip Code:06890-1391
Practice Address - Country:US
Practice Address - Phone:203-259-1146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000464106H00000X
CT0000464106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist