Organization
NEW INSIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C MAXTON (EXECUTIVE DIRECTOR)
(717) 303-2035
Entity
Organization
Contact information
Practice address
716 STATE ST, LEMOYNE, PA 17043-1536
(717) 303-2035
(717) 303-5927
Mailing address
716 STATE ST, LEMOYNE, PA 17043-1536
(717) 303-2035
(717) 303-5927
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
217030
PA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up