Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003027152 |
---|---|
Provider Name | Ms. Marlene M. Bayer |
First Address | Bethlehem, PA 18015-5554 |
Second Address | Bethlehem, PA 18015-5554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |