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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1689688087 | NPPES |
| Pennsylvania | MEDICAID | 0016126440004 | |
| Pennsylvania | Other | 000557345 |
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