Louis Bevilacqua
Clinical Psychologist
1440 Russell Rd
Paoli
, Pennsylvania 19301-1236
Louis Bevilacqua
Clinical Psychologist
1440 Russell Rd
Paoli
, Pennsylvania 19301-1236
(610) 644-6464
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Louis Bevilacqua
- 1440 Russell Rd
- Paoli, PA
- Zip : 19301-1236
- Phone : (610) 644-6464
Second Address
- Louis Bevilacqua
- 1440 Russell Rd
- Paoli, PA
- Zip : 19301-1236
- Phone : (610) 644-6464
Reviews
FAQs
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Is Louis Bevilacqua a sole practitioner?
Is Louis Bevilacqua accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PS015441 | PA |
| Y | 103TC0700X | Clinical Psychologist | PS015441 | PA |
National Provider Identifier
| NPI | 1013019660 |
|---|---|
| Provider Name | Louis Bevilacqua |
| First Address | Paoli, PA 19301-1236 |
| Second Address | Paoli, PA 19301-1236 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2080814000 | IBC (01) | PA |
| 7458472 | AETNA (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.