Provider Demographics
NPI:1932529294
Name:HANCOCK, KATHLEEN (MS, NCC, LPC, RPT)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:MS, NCC, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 N CEDAR CREST BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2308
Mailing Address - Country:US
Mailing Address - Phone:484-371-5127
Mailing Address - Fax:
Practice Address - Street 1:1405 N CEDAR CREST BLVD STE 115
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2308
Practice Address - Country:US
Practice Address - Phone:484-371-5127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
PAPC10164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional