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Organization
PSYCH CONSULTANTS OF LEHIGH VALLEY
Active
Organization
PSYCH CONSULTANTS OF LEHIGH VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN CICCHIELLO NP (EXECUTIVE DIRECTOR)
(570) 875-9434
Entity
Organization
Contact information
Practice address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-8058
Mailing address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-8058
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
NULL
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/25/2015
Last updated
08/18/2015
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