Individual
DR. JOSEPH G SCHALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
303 W LANCASTER AVE, SUITE 2C, WAYNE, PA 19087-3938
(610) 995-0189
(610) 995-0194
Mailing address
303 W LANCASTER AVE, SUITE 2C, WAYNE, PA 19087-3938
(610) 995-0189
(610) 995-0194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS009283L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400145
HIGHMARK BLUE SHIELD
PA
01
—
336520
MAGELLAN
PA
Enumeration date
07/24/2006
Last updated
07/08/2007
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