Organization
INSTITUTE OF HEALING AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK JAMES VITA (PSYCHOLOGIST/SOLE MEMBER)
(570) 501-1600
Entity
Organization
Contact information
Practice address
1747 E BROAD ST, SUITE B, HAZLETON, PA 18201-5621
(570) 501-1600
(570) 501-1600
Mailing address
1747 E BROAD ST, SUITE B, HAZLETON, PA 18201-5621
(570) 501-1600
(570) 501-1600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006536L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015541660003
—
PA
05
—
0015541660006
—
PA
01
—
564323
BLUE CROSS
PA
01
—
VI564323
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
02/13/2013
Last updated
02/13/2013
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