Mikita, Deborah J

Mikita, Deborah J is an individual health care provider with primary practice located at 3679 E State St , Hermitage PA 16148-3411. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mikita, Deborah J can be contacted via phone (724) 982-0414.

Contact Information

Primary practice address
3679 E State St Hermitage PA 16148-3411
Phone: (724) 982-0414
Fax: (724) 982-4407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS8073L Pennsylvania

Profile Details

NPI number 1689688087
LBN Legal business name Mikita, Deborah J
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 25th, 2011 - about 13 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 1689688087 NPPES
Pennsylvania MEDICAID 0016126440004
Pennsylvania Other 000557345

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