Individual
DR. VINCENT F DIMALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
225 HUMPHREY RD, SUITE 4, GREENSBURG, PA 15601-4571
(724) 832-9096
(724) 832-2249
Mailing address
1232 OAKLAWN DR, LATROBE, PA 15650-2222
(724) 537-8138
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS001825L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30095
HIGHMARK BLUE CROSS
PA
Enumeration date
08/31/2006
Last updated
07/08/2007
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