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Organization
PSYCHOLOGICAL CONSULTANTS
Active
Organization
PSYCHOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN M. PITINGOLO CICCHIELLO PMHNP (EXECUTIVE DIRECTOR)
(570) 875-9434
Entity
Organization
Contact information
Practice address
603 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-8058
(570) 554-4357
Mailing address
1050 S GEORGE ST, YORK, PA 17403-3638
(570) 875-8058
(570) 554-4357
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NULL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
TP006931C
PA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
SP009838
PA
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
—
—
Other
Enumeration date
07/13/2015
Last updated
08/20/2015
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