| Brookhaven Center For Counseling And Development | |
|
2307 Cove Road Fogelsville PA 18051 | |
| (610) 395-3005 | |
| (610) 391-1711 |
| Full Name | Brookhaven Center For Counseling And Development |
|---|---|
| Speciality | Psychologist |
| Location | 2307 Cove Road, Fogelsville, Pennsylvania |
| Authorized Official Name and Position | Lowell W Hoffman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6103953005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Center For Counseling And Development Po Box 425 Fogelsville PA 18051 Ph: (610) 395-3005 | Brookhaven Center For Counseling And Development 2307 Cove Road Fogelsville PA 18051 Ph: (610) 395-3005 |
| NPI Number | 1114069796 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 01/21/2014 |
| Medicare PECOS PAC ID | 1658508031 |
|---|---|
| Medicare Enrollment ID | O20131210000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114069796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P5 5276L (Pennsylvania) | Primary |
| 103TC0700X | Psychologist - Clinical | PS 5277 L (Pennsylvania) | Secondary |
| Provider Name | Lowell W Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043389984 PECOS PAC ID: 0244278893 Enrollment ID: I20050422001001 |
| Provider Name | Marie T Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427127356 PECOS PAC ID: 3577582493 Enrollment ID: I20051121000099 |
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