Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Psychiatric Associates - Sacred Heart Campus
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
451 CHEW ST, ALLENTOWN, PA 18102-3472
(484) 526-2400
Mailing address
ST. LUKE'S CVO, 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
06/24/2019
Last updated
06/24/2019
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