Individual
DR. FRANK JAMES VITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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
101YP2500X
Professional Counselor
37PC00215200
NJ
103T00000X
Psychologist
Primary
PS006535L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015541660003
—
PA
05
—
0015541660005
—
PA
01
—
VI564323
BLUE CROSS/BLUE SHIED
PA
Enumeration date
10/04/2007
Last updated
02/05/2013
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