Healthcare Provider Details

I. General information

NPI: 1811947120
Provider Name (Legal Business Name): LMA SYSTEMS GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1848 CHARTER LANE LIFE MANAGEMENT ASSOCIATES
LANCASTER PA
17601-5896
US

IV. Provider business mailing address

1848 CHARTER LANE LIFE MANAGEMENT ASSOCIATES
LANCASTER PA
17601-5896
US

V. Phone/Fax

Practice location:
  • Phone: 717-394-6688
  • Fax: 717-394-6804
Mailing address:
  • Phone: 717-394-6688
  • Fax: 717-394-6804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DONALD P MASEY JR.
Title or Position: CLINICAL DIRECTOR
Credential: PSY D
Phone: 717-394-6688