MS. COLEEN VANDERBEEK PSY D. NPI 1669635009

NPI Information

NPI: 1669635009
Provider Name: MS. COLEEN VANDERBEEK, PSY D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1247 S CEDAR CREST BLVD STE 107
ALLENTOWN, PA
ZIP 18103
Phone: (484) 200-5208
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MS. Coleen Vanderbeek, PSY D. is a mental health counselor in Allentown, PA. MS. Coleen Vanderbeek, PSY D. NPI is 1669635009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1247 S CEDAR CREST BLVD STE 107
ALLENTOWN, PA
ZIP 18103-347
Phone: (484) 200-5208

The enumeration date for this NPI number is 7/7/2008 and was last updated on 5/20/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling	PERMIT TP#083-911	NEW JERSEY	No
2	101YM0800X	Counselor	Mental Health	37PC00881500	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	527486	OTHER	NEW JERSEY	AGENCY MEDICARE PROVIDER NUMBER
2	0023701	OTHER	NEW JERSEY	AGENCY MEDICAID PROVIDER NUMBER

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

NPI Synchronization or Removal

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