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Individual

ADAM WILIKOFSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005455L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000670444
HIGHMARK BLUE SHIELD
PA
01
001539956
CBHNP
PA
05
0015399560003
PA
01
0787071000
AMERIHEALTH 65 OR IBC
PA
01
176754000
MAGELLAN
PA
01
3321658000
INDEPENDENCE BLUE CROSS
PA
01
50055747
CAPITAL BLUE CROSS
PA
01
HMO# 1150122
AETNA
PA
Enumeration date
04/18/2006
Last updated
04/12/2011
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