DR. DANIEL MEDLAR (NPI# 1578875407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578875407 |
Entity Type | Individual |
Full Name | DR. DANIEL MEDLAR |
Credential | PSY.D. |
Practice Address |
35 E Elizabeth Ave Suite 5 Bethlehem PA 18018-6505 |
Practice Telephone | 6104177822 |
Practice Fax Number | 6108682055 |
Mailing Telephone | 6104177822 |
Mailing Fax Number | 6108682055 |
Enumeration Date | 2010-07-08 |
Last Update Date | 2011-11-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
PS016992 | PA | Behavioral Health & Social Service Providers |
Street Address |
35 E ELIZABETH AVE SUITE 5 |
City | BETHLEHEM |
State | PA |
Zip Code | 18018-6505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629072996 | Robert P Marcincin | Neurological Surgery | 35 E Elizabeth Ave, Ste 38, Bethlehem, PA 18018-6505 | 2005-06-02 |
1124502232 | Healing Path Psychology | Psychologist | 35 E Elizabeth Ave, Bethlehem, PA 18018-6505 | 2018-09-25 |
1871094730 | Abigail Bess Oxford | Counselor | 35 E Elizabeth Ave, Bethlehem, PA 18018-6505 | 2018-02-26 |
1710439344 | Comprehensive Family Foot Care, LLC | Assistant, Podiatric | 35 E Elizabeth Ave, Suite 13, Bethlehem, PA 18018-6505 | 2016-10-31 |
1982009155 | Comprehensive Family Foot Care | Durable Medical Equipment & Medical Supplies | 35 E Elizabeth Ave, Suite 13, Bethlehem, PA 18018-6505 | 2014-10-29 |
1871916304 | Cynthia Grieshaber, Ma, Lpc | Counselor | 35 E Elizabeth Ave, Suite 30a, Bethlehem, PA 18018-6505 | 2014-02-04 |
1295160299 | Marie Mauro | Counselor | 35 E Elizabeth Ave, Suite 330, Bethlehem, PA 18018-6505 | 2013-09-09 |
1144661968 | Ulanda R Davis | Counselor | 35 E Elizabeth Ave, Suite 24, Bethlehem, PA 18018-6505 | 2013-07-09 |
1609215235 | May Bassem Ambrogi | Social Worker | 35 E Elizabeth Ave, Bethlehem, PA 18018-6505 | 2013-06-17 |
1083958557 | Ashlee Anne Stampf | Social Worker | 35 E Elizabeth Ave, Suite 37, Bethlehem, PA 18018-6505 | 2012-11-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578016960 | Kathleen Childs | Clinical Neuropsychologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2016-08-02 |
1962891663 | Aviva Y Marlin | Clinical Neuropsychologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2015-01-18 |
1528368370 | Bonita Fisher | Clinical Neuropsychologist | 206 W Broad St, Bethlehem, PA 18018-5571 | 2010-10-27 |
1588755425 | St. Luke's Physician Group, Inc. | Clinical Neuropsychologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2006-09-27 |
1518913813 | Muhlenberg Hospital Center | Clinical Neuropsychologist | 2545 Schoenersville Rd, Banko Building, Bethlehem, PA 18017-7300 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
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1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1821617804 | Fit-minded, LLC | Clinical Neuropsychologist | 101 Forrest Ave, Narberth, PA 19072-2213 | 2020-04-10 |
1982238887 | Jesse Matthew Main | Clinical Neuropsychologist | 2150 Harrisburg Pike Fl 2, Lancaster, PA 17601-2644 | 2020-02-28 |
1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
1972155380 | Community Diagnostic Center for Children | Clinical Neuropsychologist | 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 | 2019-07-15 |
1164995023 | Mindful Neuropsychological Services, PC | Clinical Neuropsychologist | 940 E Haverford Rd Ste 303, Bryn Mawr, PA 19010-3859 | 2019-01-03 |
1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
1275033524 | Carla Towsey | Clinical Neuropsychologist | 200 Corporate Cir, Harrisburg, PA 17110-9796 | 2018-02-13 |
1093239824 | Ryan P.j. Stocker | Clinical Neuropsychologist | 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 | 2017-08-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.