Doctor Name: | DR. STEPHEN ALLEN SHECHTMAN |
NPI Number: | 1316098494 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | PS003963L |
Business Practice Address: | 202 S 3rd St Suite # 5 Coopersburg, PA - 180362150 |
Business Phone Number: | 6102822944 |
Business Fax Number: | 6102825765 |
Mailing Address: | 202 S 3rd St, Suite # 5 COOPERSBURG |
State: | PA |
Postal Code: | 180362150 |
Phone Number: | 6102822944 |
Fax Number: | 6102825765 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS003963L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |