Organization
CAROLYN I VICCHIULLO PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN IRMA VICCHIULLO PSYD (PSYCHOLOGIST)
(610) 253-8900
Entity
Organization
Contact information
Practice address
2030 LEHIGH ST, SUITE 107, EASTON, PA 18042-3853
(610) 253-8900
(610) 253-7062
Mailing address
2030 LEHIGH ST, SUITE 107, EASTON, PA 18042-3853
(610) 253-8900
(610) 253-7062
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015116
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03183600
CBC
—
01
—
1765117
HIGHMARK
—
01
—
262019000
MAGELLAN
PA
Enumeration date
04/30/2008
Last updated
01/31/2025
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