MEDICARE: PAULA N SANCHEZ PHD 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	101YM0800X	Mental Health Counselor	PC002634	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78004	OTHER	PA	NATINAL CERIFIED COUNSELO
2	PC002634	OTHER	PA	PROFESSIONAL COUNSELOR

General Provider Information

NPI Number	:	1770687394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA N SANCHEZ PHD LPC

Provider Business Mailing Address
First Line	:	211 E GARRISON STREET
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018
Country	:	US
Telephone Number	:	610-780-9152
Fax Number	:	610-954-9545

Provider Business Practice Location Address
First Line	:	44 E BROAD ST STE 25
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-5920
Country	:	US
Telephone Number	:	610-780-9152
Fax Number	:	610-954-9545

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	05/03/2016

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