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
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