Individual
MS. KATHRYN ANNE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSW
Contact information
Practice address
2819-0 WILLOW STREET PIKE, LIFE SPAN PSYCHOLOGICAL SERVICES, PC, WILLOW STREET, PA 17584
(717) 464-1464
Mailing address
231 N SHIPPEN STREET, UNIT 421, LANCASTER, PA 17602
(717) 293-0378
(717) 293-0887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW-011339-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166269
VALUE OPTIONS
PA
01
—
50006711
CAP BLUE CROSS
PA
Enumeration date
06/22/2006
Last updated
07/08/2007
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