Organization
THE WELL RED LION PSYCHOLOGY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HAYNES-WELLER PSYD (PRESIDENT)
(717) 341-3366
Entity
Organization
Contact information
Practice address
30 E BROADWAY, RED LION, PA 17356-1402
(717) 244-1082
(717) 244-1064
Mailing address
529 CRESTWOOD DR, RED LION, PA 17356-9434
(717) 246-6431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017368
PA
Other
Enumeration date
01/15/2014
Last updated
10/03/2014
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