Individual
JOSEPH DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2201 E STATE ST, HERMITAGE, PA 16148-2727
(724) 981-7141
(724) 981-7148
Mailing address
2201 E STATE ST, HERMITAGE, PA 16148-2727
(724) 981-7141
(724) 981-7148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000380 CCC'S #
—
PA
Enumeration date
09/09/2008
Last updated
09/09/2008
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