Vita, Maureen Ellen
Vita, Maureen Ellen is an sole proprietor health care provider with primary practice located at 18 Chestnut Rd , Newtown Square PA 19073-2904. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Vita, Maureen Ellen can be contacted via phone (484) 686-1162.Contact Information
Primary practice address
18 Chestnut Rd
Newtown Square PA 19073-2904
Phone: (484) 686-1162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC006899 | Pennsylvania |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 12-006 | Pennsylvania |
Profile Details
| NPI number | 1699157859 |
|---|---|
| LBN Legal business name | Vita, Maureen Ellen |
| Credentials | ATR-BC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Jun 24th, 2015 - about 10 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 | 1699157859 | NPPES |
| Pennsylvania | Other | PC006899 | LPC |
| Pennsylvania | Other | 12-006 | LPC |
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