Individual
DR. KASEY EVAN SHIENVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2151 LINGLESTOWN ROAD, SUITE 200, HARRISBURG, PA 17110
(717) 540-1313
(717) 540-1416
Mailing address
2151 LINGLESTOWN ROAD, SUITE 200, HARRISBURG, PA 17110
(717) 540-1313
(717) 540-1416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015645
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50041745
CAPITAL BLUE CROSS
PA
Enumeration date
07/26/2006
Last updated
07/08/2007
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