Vanderbeek, Coleen

Vanderbeek, Coleen is an individual health care provider with primary practice located at 1247 S Cedar Crest Blvd Ste 107 , Allentown PA 18103-6347. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Vanderbeek, Coleen can be contacted via phone (484) 200-5208.

Contact Information

Primary practice address
1247 S Cedar Crest Blvd Ste 107 Allentown PA 18103-6347
Phone: (484) 200-5208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PERMIT TP#083-911 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00881500 New Jersey

Profile Details

NPI number 1669635009
LBN Legal business name Vanderbeek, Coleen
Credentials PSY D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated May 20th, 2023 - about last year

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 1669635009 NPPES
New Jersey Other 527486 AGENCY MEDICARE PROVIDER NUMBER
New Jersey Other 0023701 AGENCY MEDICARE PROVIDER NUMBER

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