Healthcare Provider Details
I. General information
NPI: 1043273691
Provider Name (Legal Business Name): BARBARA A ANTONELLI PH.D, RN, CS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
SOLUTIONS COUNSELING 35 EAST ELIZABETH AVENUE SUITE 37
BETHLEHEM PA
18018
US
IV. Provider business mailing address
1810 FALCON DR
BETHLEHEM PA
18017-2775
US
V. Phone/Fax
- Phone: 610-865-1303
- Fax: 610-865-9632
- Phone: 610-865-0811
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | RN117427L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: