Provider Information for 1518731025
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Mrs. STACEY NICOLE FRITZINGER LPC, CADC
Sex: Female
NPI: 1518731025
Last Updated: 2024-05-14
Certification Date: 2024-05-14
Certification Date: 2024-05-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518731025 | ||||||||
| Enumeration Date | 2023-11-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2100 MACK BLVD FL 4 ALLENTOWN, PA 18103-5622 United States Phone: 484-884-4500 | Fax:484-884-0628 | ||||||||
| Primary Practice Address | 1431 NURSERY ST STE 102 FOGELSVILLE, PA 18051-1612 United States Phone: 610-821-4920 | Fax:610-821-1358 | ||||||||
| Secondary Practice Address(es) | 539 CENTER ST | ||||||||
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