Organization
SANTILLI PSYCHOLOGICAL AND WELLNESS SERVICES, LLC
Active
Organization
SANTILLI PSYCHOLOGICAL AND WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE SANTILLI PSY.D. (OWNER AND PSYCHOLOGIST)
(412) 378-1058
Entity
Organization
Contact information
Practice address
3535 ROUTE 130, SUITE 2, LOWER LEVEL, IRWIN, PA 15642-2143
(412) 378-1058
(412) 246-9383
Mailing address
328 BRANDYWINE DR, IRWIN, PA 15642-9225
(412) 378-1058
(412) 246-9383
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
PS015111
PA
103TC0700X
Clinical Psychologist
Primary
PS015111
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA056569
—
PA
Enumeration date
04/08/2013
Last updated
08/25/2014
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