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Individual

DR. LISA P. COULTER I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1011 BROOKSIDE RD STE 122, ALLENTOWN, PA 18106-9020
(610) 569-0252
(484) 460-2470
Mailing address
4097 BRIGHTON CT, SCHNECKSVILLE, PA 18078-3505
(484) 515-7615

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS007939L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1036060860001
PA
Enumeration date
07/14/2018
Last updated
03/22/2021
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