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General NPI Number Information
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NPI Number | 1194872747
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Entity Type | Individual
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Provider Name | ELIZABETH MINTZER NOLAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1605 N CEDAR CREST BLVD STE 410
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City | ALLENTOWN
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State | PA
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Zip | 18104-2323
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Country | US
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Telephone | 610-379-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 7 NESHAMINY INTERPLEX DR STE 411
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City | TREVOSE
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State | PA
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Zip | 19053-6976
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Country | US
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Telephone | 610-544-2110
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016129
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License Number State | PA
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