Provider Demographics
NPI:1639927734
Name:TAMPONE, KAYTELYN (MS, LAPC)
Entity type:Individual
Prefix:
First Name:KAYTELYN
Middle Name:
Last Name:TAMPONE
Suffix:
Gender:F
Credentials:MS, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 EMRICK BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8039
Mailing Address - Country:US
Mailing Address - Phone:484-537-7515
Mailing Address - Fax:484-727-8178
Practice Address - Street 1:2151 EMRICK BLVD STE 201
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8039
Practice Address - Country:US
Practice Address - Phone:484-537-7515
Practice Address - Fax:484-727-8178
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAAPC000055101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health