| Center For Integrative Psychotherapy Pc | |
|
1251 S Cedar Crest Blvd Suite 211d Allentown PA 18103-6205 | |
| (610) 432-5066 | |
| (610) 432-0973 |
| Full Name | Center For Integrative Psychotherapy Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1251 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Jesus Alberto Salas (DIRECTOR/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6104325066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrative Psychotherapy Pc 1251 S Cedar Crest Blvd Suite 211d Allentown PA 18103-6205 Ph: (610) 432-5066 | Center For Integrative Psychotherapy Pc 1251 S Cedar Crest Blvd Suite 211d Allentown PA 18103-6205 Ph: (610) 432-5066 |
| NPI Number | 1962461236 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 03/04/2011 |
| Medicare PECOS PAC ID | 2264442979 |
|---|---|
| Medicare Enrollment ID | O20060426000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962461236 | NPI | - | NPPES |
| CE720536 | Other | PA | BLUE SHIELD INS. CO. |
| 02506000 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS015605 (Pennsylvania) | Primary |
| Provider Name | Jesus A Salas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801856505 PECOS PAC ID: 0446260343 Enrollment ID: I20060427000015 |
| Provider Name | Beverly P White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952540221 PECOS PAC ID: 8527112366 Enrollment ID: I20090813000553 |
| Provider Name | Lisa B Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134432081 PECOS PAC ID: 8123211356 Enrollment ID: I20101020001243 |
| Provider Name | Robin L Carosella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295162949 PECOS PAC ID: 0648400291 Enrollment ID: I20140228000077 |
| Provider Name | Einat Cp Delong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184856015 PECOS PAC ID: 1052607454 Enrollment ID: I20160912001113 |
| Provider Name | Melanie D Bass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346883782 PECOS PAC ID: 8224461819 Enrollment ID: I20191212002227 |
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