Provider Demographics
NPI:1588769574
Name:GIANUZZI, IRMA CARMEL (PHD LPC MHC)
Entity type:Individual
Prefix:DR
First Name:IRMA
Middle Name:CARMEL
Last Name:GIANUZZI
Suffix:
Gender:F
Credentials:PHD LPC MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2906
Mailing Address - Country:US
Mailing Address - Phone:972-579-0521
Mailing Address - Fax:
Practice Address - Street 1:1508 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2906
Practice Address - Country:US
Practice Address - Phone:972-579-0521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3897101Y00000X
NY000173101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor