Most Relevant Information
Provider Data
| NPI Number: | 1003031246 |
| Provider Name: | RICHARD ALLEN GIACOMELLI M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PS003775L |
Most Important Dates
| Enumeration Date: | 04/14/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2820 W 21ST ST
SUITE 5
ERIE
PA
165062983
Practice Location Phone/Fax
| Phone: | 8148827650 |
| Fax: |
Provider Mailing Location
PO BOX 3625
ERIE
PA
165080625
Provider Mailing Phone/Fax
| Phone: | 8147966294 |
| Fax: |