| Lvpg-mental Health Clinic 17th Street | |
|
1627 W Chew St 3rd Floor Allentown PA 18102-3648 | |
| (610) 402-1155 | |
| Not Available |
| Full Name | Lvpg-mental Health Clinic 17th Street |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1627 W Chew St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Robert B Knox (ASSOCIATE EXEC DIRECTOR OF FINANCE) |
| Authorized Official Contact | 6107984500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvpg-mental Health Clinic 17th Street Po Box 1754 Allentown PA 18105-1754 Ph: () - | Lvpg-mental Health Clinic 17th Street 1627 W Chew St 3rd Floor Allentown PA 18102-3648 Ph: (610) 402-1155 |
| NPI Number | 1063656270 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063656270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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