Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Other names
WellSpan Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA A AUCKER (SENIOR VICE PRESIDENT/PRESIDENT)
(570) 522-2807
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 523-3324
(570) 523-7057
Mailing address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
PA
103TC0700X
Clinical Psychologist
Primary
PS016860
PA
106H00000X
Marriage & Family Therapist
—
PA
Other
Enumeration date
09/21/2006
Last updated
09/09/2024
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