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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Child & Adolescent Psychiatry · BETHLEHEM, PA

Registration Details

NPI Number
1780119446
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2017 (8.9742021018536 yrs)
Last Updated
Jun 17, 2022
Licenses
OS022112 (PA)
OT017617 (PA)
OS022112 (PA)

Practice Information

Address
801 OSTRUM ST
BETHLEHEM, PA, 180151000
Browse PA providers · Browse ZIP 18015
Phone
8667858537
Primary Specialty
Child & Adolescent Psychiatry
2084P0301X
Additional Specialty
Child & Adolescent Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.