Micucci, Joseph A
Micucci, Joseph A is an sole proprietor health care provider with primary practice located at 36 E Front St , Media PA 19063-2936. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Micucci, Joseph A can be contacted via phone (610) 527-4255.Contact Information
Primary practice address
36 E Front St
Media PA 19063-2936
Phone: (610) 527-4255
Fax: (610) 527-4189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS4460L | Pennsylvania |
Profile Details
NPI number | 1326098344 |
---|---|
LBN Legal business name | Micucci, Joseph A |
Credentials | PH.D., ABPP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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