Organization
SAFE HARBOR CHRISTIAN COUNSELING OF MID-PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WEATHERLY PSY (DIRECTOR)
(814) 876-2938
Entity
Organization
Contact information
Practice address
5630 DEVONSHIRE RD, HARRISBURG, PA 17112-3911
(410) 569-9497
(410) 569-0094
Mailing address
344 S 13TH ST, HARRISBURG, PA 17104-1777
(814) 876-2938
(410) 569-0094
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005590-L
PA
Other
Enumeration date
07/17/2012
Last updated
02/01/2016
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