Organization
PSYCH CONSULTANTS OF BERKS COUNTY
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
Mailing address
601 W 5TH ST, MOUNT CARMEL, PA 17851-1803
(570) 875-8058
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP006931C
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP009835
PA
363LP2300X
Primary Care Nurse Practitioner
TP006931C
PA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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