Doctor Name: | DR. PETER J. BEHRENS |
NPI Number: | 1003817834 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS002353L |
Business Practice Address: | 35 E Elizabeth Ave Suite 30 Bethlehem, PA - 180186505 |
Business Phone Number: | 6108657777 |
Business Fax Number: | |
Mailing Address: | 1819 Millard St, BETHLEHEM |
State: | PA |
Postal Code: | 180175115 |
Phone Number: | 6108682372 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS002353L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |