Individual
MICHAEL JOSEPH VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
22 EAST ST STE 2, PITTSTON, PA 18640-1100
(570) 335-0357
(570) 569-2453
Mailing address
233 DELAWARE AVE, WEST PITTSTON, PA 18643-2101
(570) 498-6340
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005212L
PA
Other
Enumeration date
01/22/2018
Last updated
03/17/2018
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