| Good Shepherd Rehab Hospital Department Of Psychology | |
|
850 S 5th St Good Shepherd Plaza Allentown PA 18103-3308 | |
| (610) 776-3214 | |
| (610) 776-3506 |
| Full Name | Good Shepherd Rehab Hospital Department Of Psychology |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 850 S 5th St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Ron Petulla (VP FINANCE - CFO) |
| Authorized Official Contact | 6107763303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Rehab Hospital Department Of Psychology 850 S 5th St Good Shepherd Plaza Allentown PA 18103-3308 Ph: (610) 776-3214 | Good Shepherd Rehab Hospital Department Of Psychology 850 S 5th St Good Shepherd Plaza Allentown PA 18103-3308 Ph: (610) 776-3214 |
| NPI Number | 1568536480 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 09/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568536480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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