Individual
MR. GERALD AUGUSTUS SOLFANELLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1141 CLAY AVE, DUNMORE, PA 18510-1191
(570) 343-6838
(570) 558-7247
Mailing address
1141 CLAY AVE, DUNMORE, PA 18510-1191
(570) 343-6838
(570) 558-7247
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-006879-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050299
HORIZON
PA
05
—
07645 642
—
PA
01
—
102555
CIGNA
PA
01
—
237223
MHN
PA
01
—
800503
FIRST PRIORITY HEALTH
PA
01
—
SO532592
BLUE SHEILD
PA
Enumeration date
11/10/2005
Last updated
07/08/2007
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