Provider Demographics
NPI:1427368513
Name:HEMSLEY-FAULCONBRIDGE, LUCY F (PHD)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:F
Last Name:HEMSLEY-FAULCONBRIDGE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LUCY
Other - Middle Name:F
Other - Last Name:FAULCONBRIDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3535 MARKET STREET, SUITE 3108
Mailing Address - Street 2:3RD FLOOR CENTER FOR WEIGHT AND EATING DISORDERS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-746-7191
Mailing Address - Fax:215-898-2878
Practice Address - Street 1:3535 MARKET STREET, SUITE 3108
Practice Address - Street 2:CENTER FOR WEIGHT AND EATING DISORDERS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-746-7191
Practice Address - Fax:215-898-2878
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016520103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral