Healthcare Provider Details

I. General information

NPI: 1790823714
Provider Name (Legal Business Name): JENNIFER R SINCLAIR M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER CONRAD LPC

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 S CEDAR CREST BLVD STE 410
ALLENTOWN PA
18103-6218
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-7884
  • Fax: 610-402-8875
Mailing address:
  • Phone: 484-224-1183
  • Fax: 484-884-0628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC003341
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: