Frank M Dattilio Ph D Abpp Pc | |
1251 S Cedar Crest Blvd Suite 304 D Allentown PA 18103-6205 | |
(610) 434-6960 | |
(610) 434-6965 |
Full Name | Frank M Dattilio Ph D Abpp Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 1251 S Cedar Crest Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Frank Mark Dattilio (OWNER) |
Authorized Official Contact | 6104346960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Frank M Dattilio Ph D Abpp Pc 1251 S Cedar Crest Blvd Suite 304 D Allentown PA 18103-6205 Ph: (610) 434-6960 | Frank M Dattilio Ph D Abpp Pc 1251 S Cedar Crest Blvd Suite 304 D Allentown PA 18103-6205 Ph: (610) 434-6960 |
NPI Number | 1457364614 |
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Provider Enumeration Date | 08/15/2006 |
Last Update Date | 12/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457364614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS006758-L (Pennsylvania) | Primary |
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