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NPI Code Detail

MEDICARE: DOREEN R STORZ PA-C, LCSW

MEDICARE:   DOREEN R STORZ  PA-C, LCSW
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
1363A00000XPhysician AssistantMA-001215LPA

General Provider Information

NPI Number : 1821038829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOREEN R STORZ PA-C, LCSW
Provider Business Mailing Address
First Line : 1235 PENN AVE
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-2100
Country : US
Telephone Number : 610-374-4963
Fax Number :
Provider Business Practice Location Address
First Line : 1235 PENN AVE
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-2100
Country : US
Telephone Number : 610-374-4963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 12/30/2013

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Directions to “ DOREEN R STORZ PA-C, LCSW” Practice Location

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