Individual
DR. JOSEPH D. CAUTILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
183 OLD BELMONT AVE, BALA CYNWYD, PA 19004-1934
(610) 664-6200
(610) 664-6202
Mailing address
183 OLD BELMONT AVE, BALA CYNWYD, PA 19004-1934
(610) 664-6200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC001660
PA
103T00000X
Psychologist
Primary
PS016410
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102159515
—
PA
Enumeration date
03/26/2007
Last updated
03/26/2012
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