Provider Demographics
NPI:1588393342
Name:SALVATORE, GIANNA (MA)
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:
Last Name:SALVATORE
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 1:25 LOG BRIDGE RD APT 3
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-4500
Mailing Address - Country:US
Mailing Address - Phone:401-601-7872
Mailing Address - Fax:
Practice Address - Street 1:5 POST OFFICE SQ
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3206
Practice Address - Country:US
Practice Address - Phone:508-822-4027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health