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NPI Code Detail

MEDICARE: DIMITRA CAREY

MEDICARE: DIMITRA CAREY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1225651987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIMITRA CAREY
Provider Business Mailing Address
First Line : 1425 ELECTRIC ST
Second Line :
City : DUNMORE
State : PA
Zip : 18509-2016
Country : US
Telephone Number : 570-498-8829
Fax Number :
Provider Business Practice Location Address
First Line : 1086 HIGHWAY 315 BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7012
Country : US
Telephone Number : 570-846-1025
Fax Number : 570-904-8571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2020
Last Update Date : 11/11/2024

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Directions to “ DIMITRA CAREY ” Practice Location

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