Individual
VINCENT J DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 535-2277
Mailing address
135 MARKET STREET, JOHNSTOWN, PA 15901
(814) 535-2277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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