Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Psychiatric Associates - Bowmanstown
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (SUPERVISOR - ENROLLMENT)
(484) 526-3569
Entity
Organization
Contact information
Practice address
512 BANK ST, BOWMANSTOWN, PA 18030
(484) 526-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/26/2019
Last updated
07/17/2019
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