Individual
DR. SHELLEY JANE HOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
425 E 1ST ST, BLOOMSBURG, PA 17815-1480
(570) 416-1816
(570) 416-1810
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016991
PA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
09/17/2009
Last updated
12/24/2020
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