Organization
CENTER FOR INTEGRATIVE PSYCHOTHERAPY PC
Active
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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