MEDICARE: JOHN SLOYER M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS004727L	PA

General Provider Information

NPI Number	:	1447342084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN SLOYER M.A.

Provider Business Mailing Address
First Line	:	304 HAWTHORNE DR
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-6664
Country	:	US
Telephone Number	:	570-524-5126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 ROUTE 522
Second Line	:
City	:	SELINSGROVE
State	:	PA
Zip	:	17870-8707
Country	:	US
Telephone Number	:	570-372-2561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/08/2007

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