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Organization
LEHIGH VALLEY CHILD PSYCHOLOGY CENTER LLC
Active
Organization
LEHIGH VALLEY CHILD PSYCHOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY DURNAN MARTIN PHD (DIRECTOR/PSYCHOLOGIST)
(484) 935-3434
Entity
Organization
Contact information
Practice address
6666 PASSER RD STE 2, COOPERSBURG, PA 18036-1258
(484) 935-3434
Mailing address
4890 MAJESTIC DR, COOPERSBURG, PA 18036-8722
(610) 295-7834
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/23/2018
Last updated
02/27/2018
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