| Organization Name: | MICHAEL T. DEGILIO, PSY.D. P.C. |
| NPI Number: | 1104051788 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL T. DEGILIO (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 811 Blakeslee Boulevard Drive East Suite 80 Lehighton |
| State: | PA US |
| Postal Code: | 18235 |
| Phone Number: | 6103773311 |
| Fax Number: | 6103776265 |
| NPI Enumeration Date: | 05/26/2009 |
| NPI Last Update Date: | 05/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |