Provider Demographics
NPI:1023832144
Name:GIGANTI, MOLLY CLAIRE (MSED, CAGS)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:CLAIRE
Last Name:GIGANTI
Suffix:
Gender:F
Credentials:MSED, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 N BEND RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-3203
Mailing Address - Country:US
Mailing Address - Phone:443-836-6204
Mailing Address - Fax:
Practice Address - Street 1:181 N BEND RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-3203
Practice Address - Country:US
Practice Address - Phone:443-836-6204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool