Organization
EARLY INTERVENTION SPECIALIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAUREN NICHOLL ED.S (PSYCHOLOGIST)
(856) 625-5115
Entity
Organization
Contact information
Practice address
6864 SUSQUEHANNA TRL S, YORK, PA 17403-9320
(717) 428-0151
Mailing address
1201 E POPLAR ST, YORK, PA 17403-1828
(856) 625-5115
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
780227
NJ
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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