| Easton Neuropyschological And Behavioral Services Llc | |
|
299 Industrial Park Rd Nazareth PA 18064-2439 | |
| (610) 504-6122 | |
| (610) 365-2506 |
| Full Name | Easton Neuropyschological And Behavioral Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 299 Industrial Park Rd, Nazareth, Pennsylvania |
| Authorized Official Name and Position | Renee Cantwell (OWNER) |
| Authorized Official Contact | 6105046122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easton Neuropyschological And Behavioral Services Llc 299 Industrial Park Rd Nazareth PA 18064-2439 Ph: (610) 504-6122 | Easton Neuropyschological And Behavioral Services Llc 299 Industrial Park Rd Nazareth PA 18064-2439 Ph: (610) 504-6122 |
| NPI Number | 1528497559 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 4385873975 |
|---|---|
| Medicare Enrollment ID | O20140130001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528497559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Richard Solga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477643450 PECOS PAC ID: 2062311806 Enrollment ID: I20031231000334 |
| Provider Name | Renee Cantwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366594343 PECOS PAC ID: 5890895890 Enrollment ID: I20070705000040 |
| Provider Name | Anne Schaller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306140314 PECOS PAC ID: 4789860339 Enrollment ID: I20110516000326 |
| Provider Name | Joan L Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437265824 PECOS PAC ID: 9739354127 Enrollment ID: I20111214000076 |
| Provider Name | Lyssa Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033578836 PECOS PAC ID: 2062718554 Enrollment ID: I20160309001598 |
| Provider Name | Lisa Petrucelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992909725 PECOS PAC ID: 7113295676 Enrollment ID: I20170626000636 |
| Provider Name | Lauren Lee-rowland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669073508 PECOS PAC ID: 8729474507 Enrollment ID: I20220404000958 |
| Provider Name | Lauren Dennelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578287132 PECOS PAC ID: 8123495421 Enrollment ID: I20221028002290 |
| Provider Name | Dorothy L Deihl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700592425 PECOS PAC ID: 7416320031 Enrollment ID: I20230302000218 |
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