Provider Demographics
NPI:1154554137
Name:LEHIGH VALLEY BETTER BALANCE INC
Entity type:Organization
Organization Name:LEHIGH VALLEY BETTER BALANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:DOERRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-619-3238
Mailing Address - Street 1:2015 W HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6472
Mailing Address - Country:US
Mailing Address - Phone:484-619-3238
Mailing Address - Fax:
Practice Address - Street 1:2015 W HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6472
Practice Address - Country:US
Practice Address - Phone:484-619-3238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA184101Medicare PIN