Provider Demographics
NPI:1902120298
Name:BRIGUGLIO, MARY T (MSED, LPC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:T
Last Name:BRIGUGLIO
Suffix:
Gender:F
Credentials:MSED, LPC
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:T
Other - Last Name:SCHREIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:1008 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4530
Mailing Address - Country:US
Mailing Address - Phone:724-843-0816
Mailing Address - Fax:
Practice Address - Street 1:1008 7TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4530
Practice Address - Country:US
Practice Address - Phone:724-843-0816
Practice Address - Fax:724-843-0818
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0500561101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional