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Contact Information

BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT
2307 COVE ROAD
FOGELSVILLE, PA18051
 Phone: 610-395-3005
 Fax: 610-391-1711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT · (Female)

NPI # 1114069796
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2007
Last updated 01/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # P5 5276L
  • PA License # PS 5277 L
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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