Individual
PAUL F WILCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3550 CONCORD RD, YORK, PA 17402-8626
(717) 851-6340
(717) 851-6349
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-6340
(717) 851-6349
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS006213L
PA
103TC0700X
Clinical Psychologist
Primary
PS006213L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001535250
—
PA
01
—
01096501
CAPITAL BLUE CROSS
PA
01
—
064396
VALUE OPTIONS
PA
01
—
1031360
CIGNA BEHAV HEALTH
PA
01
—
112012000
MAGELLAN
PA
01
—
131335
PA BLUE SHIELD
PA
01
—
434143
MAMSI
PA
01
—
P00074980
RAILROAD MEDICARE
PA
Enumeration date
06/28/2006
Last updated
08/11/2014
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