Provider Demographics
NPI:1306389572
Name:ROBERTS, MARGARET BEATRICE (LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:BEATRICE
Last Name:ROBERTS
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 1:220 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-5324
Mailing Address - Country:US
Mailing Address - Phone:484-866-6143
Mailing Address - Fax:
Practice Address - Street 1:807 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5223
Practice Address - Country:US
Practice Address - Phone:610-419-9415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2022-05-10
Deactivation Date:2022-03-31
Deactivation Code:
Reactivation Date:2022-05-09
Provider Licenses
StateLicense IDTaxonomies
PAPC014153101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional