| NPI | 1528547387 |
|---|---|
| Other Name | LISA P COULTER |
| Entity Type | Organization |
| Authorized Contact | LISA P. COULTER Owner / Provider 610-569-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2021-03-22 |