| Covenant Counseling Pc | |
|
923 Brookside Rd Allentown PA 18106-9441 | |
| (610) 366-7880 | |
| (610) 366-1960 |
| Full Name | Covenant Counseling Pc |
|---|---|
| Speciality | Psychologist |
| Location | 923 Brookside Rd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Christopher Hershman (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6103667880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Counseling Pc 923 Brookside Rd P.o. Box 3303 Allentown PA 18106-9441 Ph: (610) 366-7880 | Covenant Counseling Pc 923 Brookside Rd Allentown PA 18106-9441 Ph: (610) 366-7880 |
| NPI Number | 1144356106 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144356106 | NPI | - | NPPES |
| 1015894220001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS007502 L (Pennsylvania) | Primary |
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