| Center For Psychological Wellness And Change Llc | |
|
6081 Hamilton Blvd Ste 600 Allentown PA 18106-9801 | |
| (610) 638-6100 | |
| (610) 638-6101 |
| Full Name | Center For Psychological Wellness And Change Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6081 Hamilton Blvd Ste 600, Allentown, Pennsylvania |
| Authorized Official Name and Position | Marifel C. Estrada-currie (PSYCHOLOGIST) |
| Authorized Official Contact | 6106386100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychological Wellness And Change Llc 6081 Hamilton Blvd Ste 600 Allentown PA 18106-9801 Ph: (610) 638-6100 | Center For Psychological Wellness And Change Llc 6081 Hamilton Blvd Ste 600 Allentown PA 18106-9801 Ph: (610) 638-6100 |
| NPI Number | 1871130948 |
|---|---|
| Provider Enumeration Date | 12/07/2019 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 0042645004 |
|---|---|
| Medicare Enrollment ID | O20200121002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871130948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Marifel Cornista Estrada-currie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558689174 PECOS PAC ID: 2567593189 Enrollment ID: I20100625000777 |
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