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Organization

CENTER FOR INTEGRATIVE PSYCHOTHERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESUS ALBERTO SALAS PSY.D. (DIRECTOR/CLINICAL PSYCHOLOGIST)
(610) 432-5066
Entity
Organization

Contact information

Practice address
1251 S CEDAR CREST BLVD, SUITE 211D, ALLENTOWN, PA 18103-6205
(610) 432-5066
(610) 432-0973
Mailing address
1251 S CEDAR CREST BLVD, SUITE 211D, ALLENTOWN, PA 18103-6205
(610) 432-5066
(610) 432-0973

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015605
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02506000
CAPITAL BLUE CROSS
PA
01
CE720536
BLUE SHIELD INS. CO.
PA
Enumeration date
03/23/2006
Last updated
03/04/2011
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