Organization Name: | PSYCHOLOGICAL CONSULTANTS |
NPI Number: | 1205210903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOAN M. PITINGOLO CICCHIELLO (EXECUTIVE DIRECTOR) |
Mailing Address: | 603 W 5th St Mount Carmel |
State: | PA US |
Postal Code: | 178511803 |
Phone Number: | 5708758058 |
Fax Number: | 5705544357 |
NPI Enumeration Date: | 07/13/2015 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |