Organization
FRANK M DATTILIO PH D ABPP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MARK DATTILIO PHD (OWNER)
(610) 434-6960
Entity
Organization
Contact information
Practice address
1251 S CEDAR CREST BLVD, SUITE 304 D, ALLENTOWN, PA 18103-6205
(610) 434-6960
(610) 434-6965
Mailing address
1251 S CEDAR CREST BLVD, SUITE 304 D, ALLENTOWN, PA 18103-6205
(610) 434-6960
(610) 434-6965
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006758-L
PA
Other
Enumeration date
08/15/2006
Last updated
12/14/2007
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