Organization
THE OPENING PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA JOAN WANNER MS, MDIV (DIRECTOR OF CORPORATE OPERATIONS)
(717) 538-0161
Entity
Organization
Contact information
Practice address
313 WEST LIBERTY STREET, SUITE 230, LANCASTER, PA 17603
(717) 538-0161
(717) 427-1112
Mailing address
313 WEST LIBERTY STREET, SUITE 230, LANCASTER, PA 17603
(717) 538-0161
(717) 427-1112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS009042L
PA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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