# ELYSE C LUBELL

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

## Provider details

- **NPI number:** 1598970816
- **Authorized official:** ELYSE C LUBELL PHD (PRESIDENT)
- **Authorized official phone:** (484) 553-1252

## Contact information

- **Practice address:** 6201 HAMILTON BLVD, ALLENTOWN, PA 18106-9684
- **Practice address phone:** (484) 553-1252
- **Practice address fax:** (610) 398-1949
- **Mailing address:** 197 WINDERMERE AVE, ALLENTOWN, PA 18104-8665
- **Mailing address phone:** (484) 553-1252
- **Mailing address fax:** (610) 398-1949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PS015440 | PA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020
