Georgia Dare Bomgardner, PHD

Psychologist · Bethlehem, PA

Individual Active NPI

NPI number 1568071785

Practice location

1 E Broad St Ste 510
Bethlehem, PA 18018-5964
Phone
(610) 865-4300

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NPI record

NPI
1568071785
Entity type
Individual (Type 1)
Enumeration date
July 23, 2020
Last updated
July 23, 2020
Certified
July 23, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PS019058 PA

Mailing address

793 E Washington Ave
Bethlehem, PA 18017-6043
Phone
(901) 230-2919

About Dr. Bomgardner

Georgia Dare Bomgardner, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1 E Broad St Ste 510, Bethlehem, PA 18018-5964. The NPI number 1568071785 was assigned on July 23, 2020 and the record was last updated on July 23, 2020.

Dr. Bomgardner lists a license in the registry: #PS019058 (PA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Georgia Dare Bomgardner, PHD?

The NPI number is 1568071785.

What is the phone number of Dr. Bomgardner?

The phone number listed for the practice location is (610) 865-4300.

Where is Dr. Bomgardner located?

1 E Broad St Ste 510, Bethlehem, PA 18018-5964.

What is the taxonomy code for Dr. Bomgardner?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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