Organization Name: | BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT |
NPI Number: | 1114069796 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOWELL W HOFFMAN (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 2307 Cove Road Fogelsville |
State: | PA US |
Postal Code: | 18051 |
Phone Number: | 6103953005 |
Fax Number: | 6103911711 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS 5277 L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |