Lvpg-mental Health Clinic 17th Street | |
1627 W Chew St 3rd Floor Allentown PA 18102-3648 | |
(610) 402-1155 | |
Not Available |
Full Name | Lvpg-mental Health Clinic 17th Street |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1627 W Chew St, Allentown, Pennsylvania |
Authorized Official Name and Position | Robert B Knox (ASSOCIATE EXEC DIRECTOR OF FINANCE) |
Authorized Official Contact | 6107984500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lvpg-mental Health Clinic 17th Street Po Box 1754 Allentown PA 18105-1754 Ph: () - | Lvpg-mental Health Clinic 17th Street 1627 W Chew St 3rd Floor Allentown PA 18102-3648 Ph: (610) 402-1155 |
NPI Number | 1063656270 |
---|---|
Provider Enumeration Date | 05/01/2009 |
Last Update Date | 05/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063656270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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