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NPI Code Detail

MEDICARE: THERESE NORCOTT-GIBBONS LCSW

MEDICARE: THERESE NORCOTT-GIBBONS LCSW
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
11041C0700XClinical Social WorkerCW013676PA

General Provider Information

NPI Number : 1821010687
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESE NORCOTT-GIBBONS LCSW
Provider Business Mailing Address
First Line : 1605 N CEDAR CREST BLVD STE 411
Second Line :
City : ALLENTOWN
State : PA
Zip : 18104-2323
Country : US
Telephone Number : 610-969-1914
Fax Number : 610-969-3951
Provider Business Practice Location Address
First Line : 6900 HAMILTON BLVD
Second Line :
City : TREXLERTOWN
State : PA
Zip : 18087-9101
Country : US
Telephone Number : 610-402-0101
Fax Number : 610-402-0102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 05/11/2020

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Directions to “ THERESE NORCOTT-GIBBONS LCSW” Practice Location

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