DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAMES MICHAEL CIANCIULLI, PH.D.

Active Sole Proprietor

School Psychologist · JEFFERSONVILLE, PA

Registration Details

NPI Number
1679771463
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2007 (18.810003883612 yrs)
Last Updated
Feb 14, 2011
Licenses
PC004626 (PA)
CSP67-07610046 (PA)
Sole Proprietor
Yes

Practice Information

Address
1920 W MARSHALL ST
SUITE 2-D
JEFFERSONVILLE, PA, 194033171
Browse PA providers · Browse ZIP 19403
Phone
2156661485
Fax
6106300913
Primary Specialty
School Psychologist
103TS0200X
Additional Specialty
School Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.