Provider Demographics
NPI:1346340940
Name:DIGILARMO, ALBERT J (PSY D)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:J
Last Name:DIGILARMO
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:90 BEAVER DRIVE, SUITE 118D
Mailing Address - City:DUBOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801
Mailing Address - Country:US
Mailing Address - Phone:814-371-1789
Mailing Address - Fax:814-371-1789
Practice Address - Street 1:90 BEAVER DRIVE
Practice Address - Street 2:SUITE 118D
Practice Address - City:DUBOIS
Practice Address - State:PA
Practice Address - Zip Code:15801
Practice Address - Country:US
Practice Address - Phone:814-371-1789
Practice Address - Fax:814-371-1789
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS002275L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
289796OtherBCBS