Individual
DANIEL A WASCHBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 531-8338
(717) 531-6250
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017492
PA
103T00000X
Psychologist
TPS030181
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028588480001
—
PA
01
—
310165
MEDICARE
PA
Enumeration date
07/31/2013
Last updated
02/02/2018
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