Doctor Name: | KIMBERLY J. LUYBLI |
NPI Number: | 1427432814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., NCC, LPC |
License Number: | PC008051 |
Business Practice Address: | 23 N 6th St Emmaus, PA - 180492411 |
Business Phone Number: | 6108662777 |
Business Fax Number: | |
Mailing Address: | 23 N 6th St, Suite 1 EMMAUS |
State: | PA |
Postal Code: | 180492411 |
Phone Number: | 6108662777 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC008051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |