| Archetype Enterprises P C | |
|
5920 Hamilton Blvd Ste 103 Allentown PA 18106 | |
| (610) 395-5188 | |
| (610) 395-5188 |
| Full Name | Archetype Enterprises P C |
|---|---|
| Speciality | Psychologist |
| Location | 5920 Hamilton Blvd Ste 103, Allentown, Pennsylvania |
| Authorized Official Name and Position | Daniel Frank Werner (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6103955188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archetype Enterprises P C 1040 Chestnut St Emmaus PA 18049-1952 Ph: (610) 966-5188 | Archetype Enterprises P C 5920 Hamilton Blvd Ste 103 Allentown PA 18106 Ph: (610) 395-5188 |
| NPI Number | 1992996151 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 5597859496 |
|---|---|
| Medicare Enrollment ID | O20070924000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992996151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Daniel Frank Werner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508081407 PECOS PAC ID: 8426067380 Enrollment ID: I20060420000523 |
| Provider Name | Jilda H Ulicny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518333863 PECOS PAC ID: 3971803529 Enrollment ID: I20151203001660 |
| Provider Name | Lorraine M Dorfman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487636981 PECOS PAC ID: 7719261866 Enrollment ID: I20170309000232 |
| Provider Name | Timothy Silvestri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619132727 PECOS PAC ID: 8022533819 Enrollment ID: I20250414003458 |
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