| Dominic J. Deluigi Phd Llc | |
|
500 Market St. Sutei 204b Beaver PA 15009 | |
| (724) 728-6670 | |
| (724) 728-6670 |
| Full Name | Dominic J. Deluigi Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 500 Market St., Beaver, Pennsylvania |
| Authorized Official Name and Position | Dominic Joseph Deluigi (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7247286670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic J. Deluigi Phd Llc 500 Market St. Suite 204b Beaver PA 15009 Ph: (724) 728-6670 | Dominic J. Deluigi Phd Llc 500 Market St. Sutei 204b Beaver PA 15009 Ph: (724) 728-6670 |
| NPI Number | 1275048654 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275048654 | NPI | - | NPPES |
| 170573 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS-002809-L (Pennsylvania) | Primary |
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