Organization
GREENCASTLE FAMILY PRACTICE, PC
Active
Other names
Greencastle Family Practice, Counseling and Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFFER L SHOWALTER (EXEC ASSISTANT)
(223) 465-2025
Entity
Organization
Contact information
Practice address
50 EASTERN AVE, SUITE 115, GREENCASTLE, PA 17225-1100
(717) 597-0095
(717) 597-3147
Mailing address
50 EASTERN AVE, SUITE 135, GREENCASTLE, PA 17225-1100
(717) 597-0095
(717) 597-3147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC000234
PA
103G00000X
Clinical Neuropsychologist
PS008907L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50001005
CAPITAL BLUE CROSS GROUP
PA
01
—
706786
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/12/2007
Last updated
01/24/2025
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