Angilletta, Tricia M.

Angilletta, Tricia M. is an sole proprietor health care provider with primary practice located at 561 Fairthorne Ave , Philadelphia PA 19128-2412. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Angilletta, Tricia M. can be contacted via phone (215) 487-4196.

Contact Information

Primary practice address
561 Fairthorne Ave Philadelphia PA 19128-2412
Phone: (215) 487-4196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC008931 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00335900 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018106 Pennsylvania

Profile Details

NPI number 1154447225
LBN Legal business name Angilletta, Tricia M.
Credentials PSYD, LPC, ATR-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Apr 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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