Organization
ELYSE C LUBELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE C LUBELL PHD (PRESIDENT)
(484) 553-1252
Entity
Organization
Contact information
Practice address
6201 HAMILTON BLVD, ALLENTOWN, PA 18106-9684
(484) 553-1252
(610) 398-1949
Mailing address
197 WINDERMERE AVE, ALLENTOWN, PA 18104-8665
(484) 553-1252
(610) 398-1949
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS015440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1918086
HIGHMARK BLUE SHIELD
PA
01
—
50049223
CAPITAL BLUE CROSS
PA
01
—
G3543672
OXFORD HEALTH
PA
Enumeration date
05/11/2007
Last updated
08/22/2020
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