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General NPI Number Information
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NPI Number | 1447235379
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Entity Type | Organization
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Legal Business Name | COMMUNITY PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2341 WALBERT AVE
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City | ALLENTOWN
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State | PA
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Zip | 18104-1351
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Country | US
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Telephone | 610-434-2431
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Fax | 610-434-8384
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Provider Business Mailing Address
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Address Line | 2341 WALBERT AVE
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City | ALLENTOWN
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State | PA
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Zip | 18104-1351
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Country | US
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Telephone | 610-434-2431
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Fax | 610-434-8384
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Authorized Official
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Title or Position | OWNER / EXECUTIVE DIRECTOR
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Name | DR. THOMAS C VELLELA
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Credential | ED.D.
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Telephone | 610-434-2431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | PS004488L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS004488L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS004488L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PS004488L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS004488L
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License Number State | PA
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