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
Phone: (484) 221-8296
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043861859 | NPPES |
Pennsylvania | Other | MF000859 | PA LICENSE AS MARRIAGE AND FAMILY THERAPIST |
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