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NPI Code Detail

MEDICARE: MS. KATIE LEE GREBLE MA ATR-BC LPC

MEDICARE: MS. KATIE LEE GREBLE MA ATR-BC LPC
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
1101YP2500XProfessional CounselorPC006866PA

General Provider Information

NPI Number : 1659702371
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATIE LEE GREBLE MA ATR-BC LPC
Provider Business Mailing Address
First Line : 3910 ASHLAND DR STE 114
Second Line :
City : HARLEYSVILLE
State : PA
Zip : 19438-2880
Country : US
Telephone Number : 203-577-9926
Fax Number :
Provider Business Practice Location Address
First Line : 2801 GRANT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-1032
Country : US
Telephone Number : 215-695-4286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2013
Last Update Date : 10/31/2014

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