Organization
CARBON LEHIGH INTERMEDIATE UNIT #21
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J KEEGAN JR. (EXECUTIVE DIRECTOR)
(610) 769-4111
Entity
Organization
Contact information
Practice address
4210 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078-4821
(610) 769-4111
(610) 769-1250
Mailing address
4210 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078-4821
(610) 769-4111
(610) 769-1250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
205750
PA
101YS0200X
School Counselor
Primary
244010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007731700002
—
PA
05
—
1007731700008
—
PA
05
—
1007731700015
—
PA
Enumeration date
09/20/2006
Last updated
09/11/2025
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