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Clinical Neuropsychologist

Hershey, Pennsylvania

Provider NPI: 1093765695

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
30 HOPE DR STE 1300  HERSHEY, PA 17033 US
Tel: 717-531-3828  Fax: 717-531-4694

Business Mailing Address:
PO BOX 858 MC A410 HERSHEY, PA 17033 US
Tel: 800-243-1455  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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