Provider Demographics
NPI:1619186871
Name:FRIGOLA, GLORIA (MA)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:FRIGOLA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 CROCUS DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2045
Mailing Address - Country:US
Mailing Address - Phone:301-838-7471
Mailing Address - Fax:301-838-7471
Practice Address - Street 1:604 CROCUS DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2045
Practice Address - Country:US
Practice Address - Phone:301-838-7471
Practice Address - Fax:301-838-7471
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM166106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist