Healthcare Provider Details
I. General information
NPI: 1609936830
Provider Name (Legal Business Name): HERSHEY PSYCHIATRIC ASSOCIATES LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2006
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
928 E CHOCOLATE AVE
HERSHEY PA
17033-1215
US
IV. Provider business mailing address
928 EAST CHOCOLATE AVENUE
HERSHEY PA
17033-1215
US
V. Phone/Fax
- Phone: 717-533-4797
- Fax: 717-533-1574
- Phone: 717-533-4797
- Fax: 717-533-1574
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BARBARA
G.
KUHLENGEL
Title or Position: PARTNER
Credential: M.D.
Phone: 717-533-4797