in Lititz - Clinical Neuropsychologist

- NPI 1336190966

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
Address 2003 Old Rothsville Rd, Lititz, Pennsylvania
Phone Number 7175560149
Fax Number 7175560149
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1336190966
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 2003 Old Rothsville Rd
City Lititz
State Pennsylvania (PA)
Post Code 175439133
Phone Number 7175560149
Fax Number 7175560149

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
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
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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