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NPI Code Detail

MEDICARE: MRS. LISA ANN SANTOMEN HELLBERG M.A., L.P.C.

MEDICARE: MRS. LISA ANN SANTOMEN HELLBERG M.A., L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YP2500XProfessional CounselorPC007045PA

General Provider Information

NPI Number : 1558507293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA ANN SANTOMEN HELLBERG M.A., L.P.C.
Provider Business Mailing Address
First Line : 144 ROCHELLE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-3810
Country : US
Telephone Number : 215-884-9770
Fax Number : 215-848-3850
Provider Business Practice Location Address
First Line : 614 N EASTON RD
Second Line :
City : GLENSIDE
State : PA
Zip : 19038-4301
Country : US
Telephone Number : 215-884-9770
Fax Number : 215-848-3850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2008
Last Update Date : 11/26/2013

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