Provider Demographics
NPI:1518522523
Name:ALMUT DUBISCHAR LLC
Entity Type:Organization
Organization Name:ALMUT DUBISCHAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALMUT
Authorized Official - Middle Name:DOROTHEA
Authorized Official - Last Name:DUBISCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MED LPC
Authorized Official - Phone:484-553-8155
Mailing Address - Street 1:610 W BURKE ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-1502
Mailing Address - Country:US
Mailing Address - Phone:484-553-6294
Mailing Address - Fax:610-258-1268
Practice Address - Street 1:133 N 4TH ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3518
Practice Address - Country:US
Practice Address - Phone:484-553-8155
Practice Address - Fax:610-258-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health