Healthcare Provider Details

I. General information

NPI: 1275673303
Provider Name (Legal Business Name): JOSEPH P KOCHANSKY MA PSYCHOLOGIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 CAROL ROAD
YORK PA
17402
US

IV. Provider business mailing address

2352 FRIESIAN ROAD
YORK PA
17406
US

V. Phone/Fax

Practice location:
  • Phone: 717-755-0921
  • Fax: 717-751-0783
Mailing address:
  • Phone: 717-755-0921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS005821L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: