Individual
DR. JAMES RUSSELL WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
422 ATKINS AVE, LANCASTER, PA 17603-4913
(717) 538-0161
Mailing address
422 ATKINS AVE, LANCASTER, PA 17603-4913
(717) 538-0161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS009042L
PA
Other
Enumeration date
07/20/2005
Last updated
05/23/2011
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