Individual
ELYSE C LUBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6201 HAMILTON BLVD, SUITE 202, ALLENTOWN, PA 18104
(484) 553-1252
(610) 398-1949
Mailing address
197 WINDERMERE AVE, ALLENTOWN, PA 18104
(484) 553-1252
(610) 398-1949
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS015440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1637239
BLUE SHIELD HIGHMARK
PA
01
—
2312064000
BLUE SHIELD PERSONAL CHOI
PA
01
—
50058544
BLUE SHIELD CAPITAL
PA
01
—
G3543673
OXFORD HEALTH
PA
Enumeration date
07/10/2006
Last updated
07/08/2007
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