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CENTER FOR INTEGRATIVE PSYCHOTHERAPY PC NPI 1962461236


NPI Information

NPI: 1962461236
Provider Name: CENTER FOR INTEGRATIVE PSYCHOTHERAPY PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 39D2078505

Address:
1251 S CEDAR CREST BLVD
SUITE 211D
ALLENTOWN, PA
ZIP 18103
Phone: (610) 432-5066
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CENTER FOR INTEGRATIVE PSYCHOTHERAPY PC is a clinical psychologist in Allentown, PA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CENTER FOR INTEGRATIVE PSYCHOTHERAPY PC NPI is 1962461236. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1251 S CEDAR CREST BLVD
SUITE 211D
ALLENTOWN, PA
ZIP 18103-205
Phone: (610) 432-5066
Fax: (610) 432-0973

The provider's authorized official is Jesus Alberto Salas .
The authorized official title is Director/clinical Psychologist and has the following contact phone number (610) 432-5066.

The CLIA number assigned to this NPI record is 39D2078505 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 3/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPS015605PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CE720536OTHERPENNSYLVANIABLUE SHIELD INS. CO.
202506000OTHERPENNSYLVANIACAPITAL BLUE CROSS
3100402MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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