Individual
DAVID DIPERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 W END AVE, POTTSVILLE, PA 17901-2050
(570) 622-9101
Mailing address
1851 W END AVE, POTTSVILLE, PA 17901-2050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
866-230-8954
COMMUNITY CARE BEHAVIORAL HEALTH
PA
Enumeration date
11/17/2020
Last updated
11/17/2020
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