Natalie Paul, Psy.d. Pc | |
4111 Grace Virginia Court Allentown PA 18104-5501 | |
(610) 614-1619 | |
Not Available |
Full Name | Natalie Paul, Psy.d. Pc |
---|---|
Speciality | Psychologist |
Location | 4111 Grace Virginia Court, Allentown, Pennsylvania |
Authorized Official Name and Position | Natalie Paul (PRESIDENT) |
Authorized Official Contact | 6106141619 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Natalie Paul, Psy.d. Pc 4111 Grace Virginia Court Allentown PA 18104-5501 Ph: (610) 614-1619 | Natalie Paul, Psy.d. Pc 4111 Grace Virginia Court Allentown PA 18104-5501 Ph: (610) 614-1619 |
NPI Number | 1871601849 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 07/22/2021 |
Certification Date | 07/22/2021 |
Medicare PECOS PAC ID | 4688678600 |
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Medicare Enrollment ID | O20060906000320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871601849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS 006239L (Pennsylvania) | Primary |
Provider Name | Natalie Paul |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154300580 PECOS PAC ID: 0547263220 Enrollment ID: I20060818000214 |
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