Cautilli, Joseph D.

Cautilli, Joseph D. is an sole proprietor health care provider with primary practice located at 183 Old Belmont Ave , Bala Cynwyd PA 19004-1934. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Cautilli, Joseph D. can be contacted via phone (610) 664-6200.

Contact Information

Primary practice address
183 Old Belmont Ave Bala Cynwyd PA 19004-1934
Fax: (610) 664-6202
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS016410 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X PC001660 Pennsylvania

Profile Details

NPI number 1497873012
LBN Legal business name Cautilli, Joseph D.
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Mar 26th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497873012 NPPES
Pennsylvania MEDICAID 102159515

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