# LEHIGH VALLEY CHILD PSYCHOLOGY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457852568
- **Authorized official:** DR. STACY DURNAN MARTIN PHD (DIRECTOR/PSYCHOLOGIST)
- **Authorized official phone:** (484) 935-3434

## Contact information

- **Practice address:** 6666 PASSER RD STE 2, COOPERSBURG, PA 18036-1258
- **Practice address phone:** (484) 935-3434
- **Mailing address:** 4890 MAJESTIC DR, COOPERSBURG, PA 18036-8722
- **Mailing address phone:** (610) 295-7834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2018
- **Last updated:** 02/27/2018