Provider Demographics
NPI:1578375275
Name:LINGLE, EDIE IRENE
Entity type:Individual
Prefix:
First Name:EDIE
Middle Name:IRENE
Last Name:LINGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EDIE
Other - Middle Name:IRENE
Other - Last Name:BECHTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:959 CORNWALL RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7015
Mailing Address - Country:US
Mailing Address - Phone:717-673-8589
Mailing Address - Fax:
Practice Address - Street 1:746 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5236
Practice Address - Country:US
Practice Address - Phone:717-673-8589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor