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NPI Code Detail

MEDICARE: CUMBERLAND VALLEY COUNSELING ASSOCIATES PC

MEDICARE: CUMBERLAND VALLEY COUNSELING ASSOCIATES PC
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
1101YP2500XProfessional CounselorPC003026PA
21041C0700XClinical Social WorkerCW013034PA
3103TC0700XClinical PsychologistPS006810-LPA

General Provider Information

NPI Number : 1447439054
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND VALLEY COUNSELING ASSOCIATES PC
Provider Business Mailing Address
First Line : 1200 WALNUT BOTTOM RD
Second Line : SUITE 311
City : CARLISLE
State : PA
Zip : 17015-7766
Country : US
Telephone Number : 717-243-1511
Fax Number : 717-243-1530
Provider Business Practice Location Address
First Line : 1200 WALNUT BOTTOM RD
Second Line : SUITE 311
City : CARLISLE
State : PA
Zip : 17015-7766
Country : US
Telephone Number : 717-243-1511
Fax Number : 717-243-1530
Authorized Official
Title or Position : PRESIDENT
Name : GWENDOLYN PEHL MINNIX
Credential : M.S.,LICENSED PSYCH
Telephone Number : 717-243-1511
Provider Enumeration Date : 10/31/2007
Last Update Date : 02/19/2008

Similar Medicare Providers

1225037278 — MRS. MARY JO HARDICK LCSW, LMFT
Practice Location Address:
1200 WALNUT BOTTOM RD , STONER BUILDING, SUITE 311
CARLISLE, PA
17015-7766
Practice Phone: 717-243-1511
Practice Fax: 717-243-1530
1275711269 — MR. GENE ROBERT GALBRAITH M.A.
Practice Location Address:
1200 WALNUT BOTTOM RD , SUITE 311
CARLISLE, PA
17015-7766
Practice Phone: 717-243-1511
Practice Fax:
1619142601 — JUDITH NIHILL DERICCO L.P.C.
Practice Location Address:
1200 WALNUT BOTTOM RD , SUITE 311
CARLISLE, PA
17015-7766
Practice Phone: 717-243-1511
Practice Fax: 717-243-1530
1245472372 — MISS MICHELE LEE O'CONNELL LPC
Practice Location Address:
1200 WALNUT BOTTOM RD , SUITE 311
CARLISLE, PA
17015-7766
Practice Phone: 717-243-1511
Practice Fax: 717-243-1530
1528291259 — DR. LINDA MARGARET CHALK PH.D.
Practice Location Address:
1200 WALNUT BOTTOM RD , SUITE 311
CARLISLE, PA
17015-7766
Practice Phone: 717-243-1511
Practice Fax: 717-243-1530
1821427360 — HARRY JAMES HAHN M.ED., LPC
Practice Location Address:
1200 WALNUT BOTTOM RD , STE 311
CARLISLE, PA
17015-7766
Practice Phone: 717-243-1511
Practice Fax: 717-243-1530

Directions to “CUMBERLAND VALLEY COUNSELING ASSOCIATES PC ” Practice Location

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