MEDICARE: CENTER FOR CREATIVE ARTS AND PLAY THERAPY

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	305R00000X	Preferred Provider Organization	CW015262	PA

General Provider Information

NPI Number	:	1033495387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR CREATIVE ARTS AND PLAY THERAPY

Provider Business Mailing Address
First Line	:	2001 E MARKET ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2841
Country	:	US
Telephone Number	:	717-741-0000
Fax Number	:	717-668-8353

Provider Business Practice Location Address
First Line	:	1508 E MARKET ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-1255
Country	:	US
Telephone Number	:	717-741-0000
Fax Number	:	717-659-5094

Authorized Official
Title or Position	:	LCSW
Name	:	ELIZABETH CRAFT
Credential	:
Telephone Number	:	717-741-0000

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	04/23/2018

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