| Elyse C Lubell | |
|
6201 Hamilton Blvd Allentown PA 18106-9684 | |
| (484) 553-1252 | |
| (610) 398-1949 |
| Full Name | Elyse C Lubell |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 6201 Hamilton Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Elyse C Lubell (PRESIDENT) |
| Authorized Official Contact | 4845531252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elyse C Lubell 197 Windermere Ave Allentown PA 18104-8665 Ph: (484) 553-1252 | Elyse C Lubell 6201 Hamilton Blvd Allentown PA 18106-9684 Ph: (484) 553-1252 |
| NPI Number | 1598970816 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598970816 | NPI | - | NPPES |
| 1918086 | Other | PA | HIGHMARK BLUE SHIELD |
| 50049223 | Other | PA | CAPITAL BLUE CROSS |
| G3543672 | Other | PA | OXFORD HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS015440 (Pennsylvania) | Primary |
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