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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