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Organization

MICHAEL T. DEGILIO, PSY.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL T. DEGILIO PSY.D. (LICENSED PSYCHOLOGIST)
(570) 778-3814
Entity
Organization

Contact information

Practice address
811 BLAKESLEE BOULEVARD DRIVE EAST, SUITE 80, LEHIGHTON, PA 18235
(610) 377-3311
(610) 377-6265
Mailing address
811 BLAKESLEE BOULEVARD DRIVE EASE, SUITE 80, LEHIGHTON, PA 18235
(610) 377-3311
(610) 377-6265

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016013
PA

Other

Enumeration date
05/26/2009
Last updated
05/26/2009
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