Diane M Gagliano, MA., LPC

Individual provider Active NPI Professional Counselor · Hellertown, PA

NPI 1386798262 · NPPES record last updated May 3, 2022

Key facts

NPI
1386798262
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00283100 (NJ)
Practice address
2530 Wolf Pack Run
Hellertown, PA 18055-3359
Phone
(908) 310-6694
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00283100NJMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00283100 NJ Yes

Addresses

Primary practice location

2530 Wolf Pack Run
Hellertown, PA 18055-3359

Mailing address

2530 Wolf Pack Run
Hellertown, PA 18055-3359
Phone (908) 310-6694

Other providers in Hellertown, PA

All providers in Hellertown, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.