| Kathryn M. Nickischer, Llc | |
|
628 Twin Ponds Rd Breinigsville PA 18031-1843 | |
| (484) 263-0197 | |
| (412) 794-6159 |
| Full Name | Kathryn M. Nickischer, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 628 Twin Ponds Rd, Breinigsville, Pennsylvania |
| Authorized Official Name and Position | Kathryn M Friel (DIRECTOR) |
| Authorized Official Contact | 4848958007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn M. Nickischer, Llc 1424 Dayspring Dr Allentown PA 18106-9488 Ph: (484) 895-8007 | Kathryn M. Nickischer, Llc 628 Twin Ponds Rd Breinigsville PA 18031-1843 Ph: (484) 263-0197 |
| NPI Number | 1932551884 |
|---|---|
| Provider Enumeration Date | 07/04/2016 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932551884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC006665 (Pennsylvania) | Primary |
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