Healthcare Provider Details

I. General information

NPI: 1417884818
Provider Name (Legal Business Name): BRENDAN SCHLUTH LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 BETHLEHEM PIKE STE 340
ERDENHEIM PA
19038-8118
US

IV. Provider business mailing address

781 N JUDSON ST
PHILADELPHIA PA
19130-2507
US

V. Phone/Fax

Practice location:
  • Phone: 215-282-3004
  • Fax:
Mailing address:
  • Phone: 215-282-3004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002257
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: