| Edward J. Lundeen, Phd Pc | |
|
2245 Walbert Ave Allentown PA 18104-1358 | |
| (610) 820-8499 | |
| Not Available |
| Full Name | Edward J. Lundeen, Phd Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2245 Walbert Ave, Allentown, Pennsylvania |
| Authorized Official Name and Position | Edward J Lundeen (PSYCHOLOGIST) |
| Authorized Official Contact | 6108208499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J. Lundeen, Phd Pc 2245 Walbert Ave Allentown PA 18104-1358 Ph: (610) 820-8499 | Edward J. Lundeen, Phd Pc 2245 Walbert Ave Allentown PA 18104-1358 Ph: (610) 820-8499 |
| NPI Number | 1306104278 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Medicare PECOS PAC ID | 2264696244 |
|---|---|
| Medicare Enrollment ID | O20120605000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306104278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS 006798L (Pennsylvania) | Primary |
| Provider Name | Edward J Lundeen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700859402 PECOS PAC ID: 7315101292 Enrollment ID: I20120605000251 |
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