Individual
LAURA PENGELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
546 HAMILTON ST STE 100, ALLENTOWN, PA 18101-1503
(484) 221-8296
Mailing address
131 N MADISON ST, ALLENTOWN, PA 18102-3761
(610) 392-0073
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000859
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MF000859
PA LICENSE AS MARRIAGE AND FAMILY THERAPIST
PA
Enumeration date
09/23/2019
Last updated
07/20/2020
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