Doctor Name: | MRS. CHRISTINE MUMBAUER |
NPI Number: | 1447501887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | PC006034 |
Business Practice Address: | 593 Bethlehem Pike Montgomeryville, PA - 189369709 |
Business Phone Number: | 2159977770 |
Business Fax Number: | |
Mailing Address: | 343 S 3rd St, COOPERSBURG |
State: | PA |
Postal Code: | 180362111 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/25/2012 |
NPI Last Update Date: | 09/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC006034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |