Individual
LAVINASH KOOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 SECOND AVE, COLLEGEVILLE, PA 19426-3600
(215) 360-3308
Mailing address
4501 ANTHONY CT, BETHLEHEM, PA 18020-9327
(210) 219-5494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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