MEDICARE: SHELBY KATHRYN EGAN 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
1	101YP2500X	Professional Counselor	PC012242	PA

General Provider Information

NPI Number	:	1679196281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY KATHRYN EGAN LPC

Provider Business Mailing Address
First Line	:	130 MEDINAH DR
Second Line	:
City	:	READING
State	:	PA
Zip	:	19607-3700
Country	:	US
Telephone Number	:	484-336-0915
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 PENN AVE STE 305
Second Line	:
City	:	WYOMISSING
State	:	PA
Zip	:	19610-2100
Country	:	US
Telephone Number	:	484-336-0915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2020
Last Update Date	:	12/08/2025

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