| Doctor Name: | RICHARD BOGERT |
| NPI Number: | 1003838863 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | PC000026 |
| Business Practice Address: | 17th & Chew Streets 3rd Floor Allentown, PA - 18104 |
| Business Phone Number: | 6104021155 |
| Business Fax Number: | |
| Mailing Address: | 1650 Valley Center Pkwy, Suite 1650 BETHLEHEM |
| State: | PA |
| Postal Code: | 180172344 |
| Phone Number: | 4848844436 |
| Fax Number: | 4848844444 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC000026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |