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NPI Code Detail

MEDICARE: TESSIA DAEL HALBERSTADT

MEDICARE: TESSIA DAEL HALBERSTADT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseRN725821PA

General Provider Information

NPI Number : 1255274031
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESSIA DAEL HALBERSTADT
Provider Business Mailing Address
First Line : 2100 MACK BLVD FL 4
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-5622
Country : US
Telephone Number : 484-884-4500
Fax Number : 484-884-0699
Provider Business Practice Location Address
First Line : 420 S JACKSON ST
Second Line :
City : POTTSVILLE
State : PA
Zip : 17901-3625
Country : US
Telephone Number : 570-621-5500
Fax Number : 570-621-5077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ TESSIA DAEL HALBERSTADT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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