Provider Demographics
NPI:1396506663
Name:GIALLELLA, CHRISTY (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:GIALLELLA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 JENNIFER LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1143
Mailing Address - Country:US
Mailing Address - Phone:215-820-8852
Mailing Address - Fax:
Practice Address - Street 1:27 JENNIFER LN
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1143
Practice Address - Country:US
Practice Address - Phone:215-820-8852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018264103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical