Organization
LEHIGH VALLEY CHILD PSYCHOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY DURNAN MARTIN PHD (DIRECTOR/PSYCHOLOGIST)
(484) 935-3434
Entity
Organization
Contact information
Practice address
6666 PASSER RD STE 2, COOPERSBURG, PA 18036-1258
(484) 935-3434
Mailing address
4890 MAJESTIC DR, COOPERSBURG, PA 18036-8722
(610) 295-7834
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/27/2018
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