Elyse C Lubell in Allentown - Clinical Child & Adolescent

Elyse C Lubell - NPI 1144254400

Elyse C Lubell is a Clinical Child & Adolescent in Allentown, Pennsylvania. Elyse C Lubell practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Elyse C Lubell is 1144254400. The last update date is 2007-07-08.

Elyse C Lubell's current location address is 197 Windermere Ave, Allentown, Pennsylvania. You can contact this provider via phone number 4845531252 and fax number 6103981949. The mailing address for Elyse C Lubell is 197 Windermere Ave, Allentown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Elyse C Lubell
Address 197 Windermere Ave, Allentown, Pennsylvania
Phone Number 4845531252
Fax Number 6103981949
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1144254400
Provider Enumeration Date 2006-07-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 197 Windermere Ave
City Allentown
State Pennsylvania (PA)
Post Code 18104
Phone Number 4845531252
Fax Number 6103981949

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PS015440
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2312064000 PA BLUE SHIELD PERSONAL CHOI
1637239 PA BLUE SHIELD HIGHMARK
G3543673 PA OXFORD HEALTH
50058544 PA BLUE SHIELD CAPITAL

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FAQs about Elyse C Lubell

What is the unique 10-digit identification code assigned to Elyse C Lubell by the Centers for Medicare & Medicaid Services?

The Elyse C Lubell has been issued the NPI (National Provider Identifier) 1144254400, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Elyse C Lubell is geographically located?

The Elyse C Lubell is physically situated at the following location: 197 Windermere Ave, Allentown, PA, 18104.

What is the Elyse C Lubell's specialty and taxonomy code?

The Elyse C Lubell's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

On what date did the Elyse C Lubell receive its 1144254400 assignment from the Centers for Medicare & Medicaid Services?

The Elyse C Lubell was assigned its 1144254400 by the Centers for Medicare & Medicaid Services on 2006-07-10.

When was the information related to Elyse C Lubell most recently updated or refreshed?

The details pertaining to the Elyse C Lubell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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