Organization
PSYCH CONSULTANTS IN LUZERNE VALLEY
Active
Parent organization
PSYCH CONSULTANTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCH CONSULTANTS
Authorized official
JOAN CICCHIELLO NP (EXECUTIVE DIRECTOR)
(570) 875-8058
Entity
Organization
Contact information
Practice address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-8058
(570) 554-4357
Mailing address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-8058
(570) 554-4357
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
TP006931C
PA
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
TP006931C
PA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
SP009838
PA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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