Organization
GOOD SHEPHERD REHABILITATION HOSPITAL
Active
Organization
GOOD SHEPHERD REHABILITATION HOSPITAL
Active
Other names
Good Shepherd Rehab Hospital Department of Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON PETULLA (VP FINANCE - CFO)
(610) 776-3303
Entity
Organization
Contact information
Practice address
850 S 5TH ST, GOOD SHEPHERD PLAZA, ALLENTOWN, PA 18103-3308
(610) 776-3214
(610) 776-3506
Mailing address
850 S 5TH ST, GOOD SHEPHERD PLAZA, ALLENTOWN, PA 18103-3308
(610) 776-3214
(610) 776-3506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
09/05/2017
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