Individual
TED A HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
283 S BUTLER RD, MT GRETNA, PA 17064-0550
(800) 932-0359
Mailing address
283 S BUTLER RD, MT GRETNA, PA 17064-0550
(800) 932-0359
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007256L
PA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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