GOOD SHEPHERD REHAB HOSPITAL DEPARTMENT OF PSYCHOLOGY
NPI 1568536480
Psychologist - Clinical in Allentown, PA

Q: What is Good Shepherd Rehabilitation Hospital's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since November 20, 2006

850 S 5TH ST, GOOD SHEPHERD PLAZA, ALLENTOWN, PA 18103(610) 776-3214(610) 776-3506 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Good Shepherd Rehab Hospital Department Of Psychology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SHEPHERD REHAB HOSPITAL DEPARTMENT OF PSYCHOLOGY (NPI 1568536480) is a healthcare organization registered as a clinical in Allentown, Pennsylvania and active in the NPI registry since November 2006. The organization lists Ron Petulla, Vp Finance - Cfo, as its authorized official.

NPPES Registry Identity

NPI1568536480

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGOOD SHEPHERD REHABILITATION HOSPITAL

Location Address850 S 5TH ST, GOOD SHEPHERD PLAZAAllentown, PA 18103-3308

Mailing Address850 S 5th St, Good Shepherd PlazaAllentown, PA 18103-3308 · (610) 776-3214 · Fax (610) 776-3506

Phone(610) 776-3214

Fax(610) 776-3506

Organization SubpartNo

Authorized OfficialRon PetullaVp Finance - Cfo · (610) 776-3303

Enumeration DateNovember 20, 2006

Last NPPES UpdateSeptember 5, 2017

✔ NPI 1568536480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

850 S 5TH ST, Allentown, PA 18103

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Other Names 1

Doing Business AsGood Shepherd Rehab Hospital Department Of Psychology

Other Identifiers 1

Medicare PIN027899PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH WANUGA MS, CCC-SLP/L

Speech-Language Pathologist