Organization
INSTITUTE FOR LEARNING & BEHAVIORAL SCIENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT C STANKIEWICZ PSY.D. (EXECUTIVE DIRECTOR/PRESIDENT)
(717) 439-5908
Entity
Organization
Contact information
Practice address
1512 E CARACAS AVE STE 300, HERSHEY, PA 17033-1184
(717) 439-5908
Mailing address
1512 E CARACAS AVE STE 300, HERSHEY, PA 17033-1184
(717) 439-5908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00488600
NJ
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/29/2012
Last updated
01/28/2019
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