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NPI Code Detail

MEDICARE: ELIZABETH DATTILIO LPCC

MEDICARE: ELIZABETH DATTILIO LPCC
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
1101YP2500XProfessional CounselorE0003175OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295851608
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH DATTILIO LPCC
Provider Business Mailing Address
First Line : 769 E 5TH ST
Second Line :
City : SALEM
State : OH
Zip : 44460-1740
Country : US
Telephone Number : 330-424-9573
Fax Number : 330-424-0877
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 330-397-6007
Fax Number : 234-254-5655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 01/05/2024

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Directions to “ ELIZABETH DATTILIO LPCC” Practice Location

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