Individual
MR. GEOFFREY MARTIN WYCKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1082 TAYLORSVILLE RD, SUITE 105, WASHINGTON CROSSING, PA 18977-1305
(267) 399-9962
(267) 392-5236
Mailing address
1082 TAYLORSVILLE RD, SUITE 105, WASHINGTON CROSSING, PA 18977-1305
(267) 399-9962
(267) 392-5236
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35510065400
NJ
103T00000X
Psychologist
PS007870L
—
103TC2200X
Clinical Child & Adolescent Psychologist
PS007870L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001971881
HIGHMARK BLUE SHIELD
PA
01
—
0236042000
PERSONAL CHOICE
PA
01
—
092332000
MAGELLAN
PA
01
—
7044367
AETNA
PA
01
—
P1088196
OXFORD
PA
01
—
Q63396
AMERIHEALTH ADMINISTRATOR
PA
Enumeration date
03/07/2007
Last updated
09/20/2022
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