Individual and Family Counseling Services of the Lehigh Valley, P.C.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS006645L Issued in PA

Legal business name

INDIVIDUAL AND FAMILY COUNSELING SERVICES OF THE LEHIGH VALLEY, P.C.

Practice address

5000 W Tilghman St
Suite 206
Allentown, PA 18104-9109

Phone

(610) 799-5772

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa E BrandolinoNPI 1578660148

Title

President

Phone

(610) 799-5772

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa E. Brandolino

  • Psychologist
  • Allentown, PA
  • NPI 1578660148
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1073773339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 WALNUT DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782841",
            "telephone_number": "610-799-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W TILGHMAN ST",
            "address_2": "SUITE 206",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049109",
            "telephone_number": "610-799-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL AND FAMILY COUNSELING SERVICES OF THE LEHIGH VALLEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BRANDOLINO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-799-5772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS006645L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.