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Organization

ADVOCATES FOR BEHAVIORAL CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. E. CHRISTOPHER PAYNE PH.D. (LICENSED PSYCHOLOGIST)
(610) 434-7820
Entity
Organization

Contact information

Practice address
628 TWIN PONDS RD, BREINIGSVILLE, PA 18031-1843
(610) 434-7820
(610) 434-8210
Mailing address
628 TWIN PONDS RD, BREINIGSVILLE, PA 18031-1843
(610) 434-7820
(610) 434-8210

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS006290L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02319500
CAPITAL BLUE CROSS/CAIC
PA
01
1757627
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/20/2006
Last updated
09/15/2022
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