GINA MARIE DATTILO


Address: 293 Hopewell Rd, Elverson, PA 19520
Phone: 5402094717

GINA MARIE DATTILO (NPI# 1497902829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497902829
Entity Type Individual
Full Name GINA MARIE DATTILO
Credential PSYD
Practice Address 293 Hopewell Rd
Elverson
PA 19520
Mailing Address 293 Hopewell Rd
Elverson
PA 19520-8804
Practice Telephone 5402094717
Mailing Telephone 5402094717
Enumeration Date 2008-08-27
Last Update Date 2018-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PS017764 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA COMMONWELATH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFE PS017764 01

Office Location

Street Address 293 HOPEWELL RD
City ELVERSON
State PA
Zip Code 19520

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427280908 Lee L Ritsick Counselor 150 Mine Hole Rd., Elverson, PA 19520 2009-08-17
1043440589 Andrea Lynn Smith Dentist 4225 Main Street, 105 Darby Square, Elverson, PA 19520 2009-07-17
1356524714 Healthatlantic LLC Ambulance 200 Bulltown Rd, Elverson, PA 19520 2007-12-08
1346360765 Elverson Dental Care, LLC Dentist 4101 W. Main Street, Elverson, PA 19520 2007-03-30
1649585704 Lowe Lowe Parrish Pharmacist 320 East Lincoln Highway, Rite Aid Pharmacy, Coatsville, PA 19520 2010-08-13
1619156015 Barbara Claire Arbaugh Occupational Therapist 170 Bollinger Road, Elverson, PA 19520-0246 2007-11-01
1457499360 Family Medical Center Family Medicine 11 South Pine Street, Elverson, PA 19520-0420 2007-02-02
1720396104 David T Leamer Counselor 1640 Hopewell Rd, Elverson, PA 19520-8605 2010-09-19
1063638591 Amanda S Hurley Roberts Occupational Therapist 92 Millard Rd, Elverson, PA 19520-8733 2007-04-17
1356966329 Christina Marie Russell Midwife, Lay 290 Warwick Rd, Elverson, PA 19520-8920 2020-06-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1124635891 Dylan Alexander Corp Psychologist 303 Farmstead Ln Apt 16, State College, PA 16803-2519 2020-09-28
1184231995 Dorothy Cashore Psychologist 907 West St Rm 214, Pittsburgh, PA 15221-2838 2020-09-25
1134734213 Heejin Kim Psychologist 138 Montrose Ave Unit 13, Bryn Mawr, PA 19010-1559 2020-09-15
1912518226 Karen Dybner-madero Psychologist 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 2020-08-11
1518576925 Ll Mulhollem Counseling and Psychotherapy, LLC Psychologist 751 E High St, Elizabethtown, PA 17022-1714 2020-07-31
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Competitor

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City ELVERSON
Zip Code 19520

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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