Doctor Name: | LAURYN RICHELLE FLAMISCH |
NPI Number: | 1710306170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., BSL |
License Number: | BH000519 |
Business Practice Address: | 5423 Heather Ln Orefield, PA - 180699060 |
Business Phone Number: | 6104171697 |
Business Fax Number: | |
Mailing Address: | 5423 Heather Ln, OREFIELD |
State: | PA |
Postal Code: | 180699060 |
Phone Number: | 6104171697 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | BH000519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |