Individual
MRS. ALTA LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1803 OREGON PIKE, LANCASTER, PA 17601-6401
(717) 560-9969
(717) 560-9553
Mailing address
1803 OREGON PIKE, LANCASTER, PA 17601-6401
(717) 560-9969
(717) 560-9553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002637
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50056087
CAPITALBLUECROSS
PA
01
—
810884
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/26/2006
Last updated
07/08/2007
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