Provider Demographics
NPI:1033929914
Name:RECEVEUR, NATALYA MARIE (MA, ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:MARIE
Last Name:RECEVEUR
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5305 SADDLEBRED RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6011
Mailing Address - Country:US
Mailing Address - Phone:610-930-3794
Mailing Address - Fax:
Practice Address - Street 1:401 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2401
Practice Address - Country:US
Practice Address - Phone:610-928-1097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23-442221700000X
PAPC018188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist