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
Phone: (610) 664-6200
Fax: (610) 664-6202
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497873012 | NPPES |
Pennsylvania | MEDICAID | 102159515 |
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