Pengelly, Laura

Pengelly, Laura is an sole proprietor health care provider with primary practice located at 546 Hamilton St Ste 100 , Allentown PA 18101-1503. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Pengelly, Laura can be contacted via phone (484) 221-8296.

Contact Information

Primary practice address
546 Hamilton St Ste 100 Allentown PA 18101-1503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MF000859 Pennsylvania

Profile Details

NPI number 1043861859
LBN Legal business name Pengelly, Laura
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2019
Last updated Jul 20th, 2020 - about 5 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 1043861859 NPPES
Pennsylvania Other MF000859 PA LICENSE AS MARRIAGE AND FAMILY THERAPIST

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