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1467480277

NPI Code Detail

MEDICARE: DR. BRUCE C WITTMAIER PHD

MEDICARE: DR. BRUCE C WITTMAIER PHD

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	103T00000X	Psychologist	PS002779L	PA
2	103TC0700X	Clinical Psychologist	PS002779L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	237705	OTHER	PA	MAMSI
2	271956000	OTHER	PA	MAGELLAN
3	277959	OTHER	PA	VALUE OPTIONS
4	01710702	OTHER	PA	CAPITAL BLUE CROSS
5	61607301	OTHER	PA	CAREFIRST BC/BS OF MARYLA
6	192496	OTHER	PA	PA BLUE SHIELD

General Provider Information

NPI Number	:	1467480277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE C WITTMAIER PHD

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-851-6340
Fax Number	:	717-851-6349

Provider Business Practice Location Address
First Line	:	3550 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8626
Country	:	US
Telephone Number	:	717-851-6340
Fax Number	:	717-851-6349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/26/2026

Similar Medicare Providers

1730144619 — MELISSA L HERTRICH PSY.D
Practice Location Address:

3550 CONCORD RD
YORK, PA
17402-8626

Practice Phone: 717-851-6340
Practice Fax: 717-851-6349

1366481152 — JAIME HETSKO MA, LPC
Practice Location Address:

3542 CONCORD RD
YORK, PA
17402-8626

Practice Phone: 717-851-6350
Practice Fax: 717-851-3372

1972543338 — DR. LUIS A RIVERA PHD
Practice Location Address:

3550 CONCORD RD
YORK, PA
17402-8626

Practice Phone: 717-851-6340
Practice Fax: 717-851-6349

1821038605 — DR. ANN M STIPE PHD, LCSW, CAC, RN
Practice Location Address:

3550 CONCORD RD
YORK, PA
17402-8626

Practice Phone: 717-851-6340
Practice Fax: 717-851-6349

1073553806 — SHERRY A RICHARDS MSW, LCSW
Practice Location Address:

3550 CONCORD RD
YORK, PA
17402-8626

Practice Phone: 717-851-6340
Practice Fax: 717-851-6349

1982645776 — JOSEPH MOTACKI MD
Practice Location Address:

3550 CONCORD RD
YORK, PA
17402-8626

Practice Phone: 717-851-6340
Practice Fax: 717-851-6349

Directions to “ DR. BRUCE C WITTMAIER PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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