Individual
DR. LAWRENCE C MCCLOSKEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1101 EDGAR ST, YORK, PA 17403-2862
(717) 851-1500
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS005938L
PA
103T00000X
Psychologist
PS005938L
PA
103TC0700X
Clinical Psychologist
Primary
PS005938L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001501663
—
PA
01
—
165487
VALUE OPTIONS
PA
01
—
180642
PA BLUE SHIELD
PA
01
—
2144096
MAMSI
PA
01
—
239445000
MAGELLAN
PA
01
—
644566-01
BC/BS OF MD CARE FIRST
PA
01
—
P00257114
MEDICARE RAILROAD
PA
Enumeration date
06/22/2006
Last updated
12/10/2024
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