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Individual

DR. CLINT CHESTER STANKIEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D., ABPP, FAACP

Contact information

Practice address
1512 E CARACAS AVE STE 300, HERSHEY, PA 17033
(908) 386-6330
Mailing address
1512 E CARACAS AVE STE 300, HERSHEY, PA 17033-1184
(717) 439-5908

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35SI00488600
NJ
103TC0700X
Clinical Psychologist
Primary
PS017012
PA

Other

Enumeration date
07/07/2011
Last updated
08/22/2018
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