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Contact Information

IESHA T PHELPS
1081 OAK ST STE 3
PITTSTON, PA18640-3716
 Phone: 888-726-4774
 Fax: 570-362-5112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for IESHA T PHELPS · (Female)

NPI Number 1811634553
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2022
Last updated 05/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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