Doctor Name: | RENEE L AULENBACH |
NPI Number: | 1063748648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | PC005314 |
Business Practice Address: | 716 N Park Rd Wyomissing, PA - 196102912 |
Business Phone Number: | 6103750544 |
Business Fax Number: | 6103789779 |
Mailing Address: | 716 N Park Rd, WYOMISSING |
State: | PA |
Postal Code: | 196102912 |
Phone Number: | 6103750544 |
Fax Number: | 6103789779 |
NPI Enumeration Date: | 11/02/2009 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |