Alonso, Mario

Alonso, Mario is an individual health care provider with primary practice located at 1011 Brookside Rd Suite 305, Allentown PA 18106-9020. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Alonso, Mario can be contacted via phone (610) 437-2277.

Contact Information

Primary practice address
1011 Brookside Rd Suite 305 Allentown PA 18106-9020
Phone: (610) 437-2277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS002534L Pennsylvania

Profile Details

NPI number 1184621682
LBN Legal business name Alonso, Mario
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 1st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184621682 NPPES
Pennsylvania Other 01522802 CAPITAL BLUE CROSS ID
Pennsylvania Other 089817 CAPITAL BLUE CROSS ID

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