Individual
DR. LUKE JOSEPH CIACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
850 S 5TH ST FL 4, ALLENTOWN, PA 18103-3308
(610) 776-3214
(610) 776-3506
Mailing address
4744 JANET LN, BETHLEHEM, PA 18017-8465
(610) 758-8123
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PS008377L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568536480
GOOD SHEPHERD PSYCH GROUP
PA
Enumeration date
02/15/2007
Last updated
07/21/2022
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