Provider Demographics
NPI:1104856954
Name:MATTHEWS, JOANNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 KADEL DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-1811
Mailing Address - Country:US
Mailing Address - Phone:484-358-6951
Mailing Address - Fax:
Practice Address - Street 1:1569 KADEL DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-1811
Practice Address - Country:US
Practice Address - Phone:484-358-6951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 003668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50045146OtherCAPITAL BLUE CROSS
PA355863OtherMANAGED HEALTH NETWORK
PA7727650OtherAETNA
PA1732083OtherAMERIHEALTH
PA2397952000OtherMAGELLAN