Organization
DOMINIC J. DELUIGI PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC JOSEPH DELUIGI PH.D. (PSYCHOLOGIST/OWNER)
(724) 728-6670
Entity
Organization
Contact information
Practice address
500 MARKET ST., SUTEI 204B, BEAVER, PA 15009
(724) 728-6670
(724) 728-6670
Mailing address
500 MARKET ST., SUITE 204B, BEAVER, PA 15009
(724) 728-6670
(724) 728-5570
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS-002809-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170573
—
PA
Enumeration date
12/07/2017
Last updated
12/07/2017
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