Individual
MRS. SHEILA C CARLUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
123 HUNTINGTON DR, DICKSON CITY, PA 18519
(570) 383-6404
(570) 489-0004
Mailing address
123 HUNTINGTON DR, DICKSON CITY, PA 18519
(570) 383-6404
(570) 489-0004
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007080L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01462046
—
PA
01
—
078903
FIRST PRIORITY HEALTH
PA
01
—
CA519030
BLUE SHIELD
PA
Enumeration date
11/14/2006
Last updated
07/08/2007
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