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Organization

THE GUIDANCE PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL KAUFMANN MD (PRESIDENT)
(610) 402-5900
Entity
Organization

Contact information

Practice address
1255 S CEDAR CREST BLVD, SUITE 3800, ALLENTOWN, PA 18103-6256
(610) 402-5900
Mailing address
1650 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2344
(484) 884-4436
(484) 884-4444

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PA
2084P0800X
Psychiatry Physician
Primary
PA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018752890002
PA
01
2765600
CAPITAL BLUE CROSS
PA
01
379771
HIGHMARK BLUE SHIELD
PA
01
CJ0324
RR MEDICARE
PA
Enumeration date
05/24/2006
Last updated
08/13/2008
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