Provider Demographics
NPI:1538949110
Name:IRONWOOD COUNSELING
Entity type:Organization
Organization Name:IRONWOOD COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CRALL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-730-4755
Mailing Address - Street 1:701 W MACADA RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2420
Mailing Address - Country:US
Mailing Address - Phone:610-730-4755
Mailing Address - Fax:
Practice Address - Street 1:1534 W BROAD ST STE 600
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1050
Practice Address - Country:US
Practice Address - Phone:610-730-4755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)