is a Clinical Neuropsychologist in Lititz, Pennsylvania. practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for is 1336190966. The last update date is .
's current location address is 2003 Old Rothsville Rd, Lititz, Pennsylvania. You can contact this provider via phone number 7175560149 and fax number 7175560149. The mailing address for is 2003 Old Rothsville Rd, Lititz, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 2003 Old Rothsville Rd, Lititz, Pennsylvania |
Phone Number | 7175560149 |
Fax Number | 7175560149 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1336190966 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 2003 Old Rothsville Rd |
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City | Lititz |
State | Pennsylvania (PA) |
Post Code | 175439133 |
Phone Number | 7175560149 |
Fax Number | 7175560149 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | PS009409 |
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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680015251 | PA | RAILROAD MEDICARE | |
2271001 | PA | CAPITAL BLUE CROSS | |
1548470 | PA | GATEWAY MEDICARE ASSURED | |
1334567 | PA | HIGHMARK BLUE SHIELD | |
18978580002 | PA | -- |
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