PERRY HAZELTINE (NPI# 1861409583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861409583 |
Entity Type | Individual |
Full Name | PERRY HAZELTINE |
Credential | PH.D. |
Practice Address |
243 N Duke St Ste 1 Lancaster PA 17602-2779 |
Practice Telephone | 7178758993 |
Mailing Telephone | 7178758993 |
Enumeration Date | 2006-08-02 |
Last Update Date | 2016-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS007197L | PA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | RRMEDICARE | 620005401 | 01 |
PA | ALLIANCE | 250533 | 01 |
PA | CAPITALBLUECROSS | 02153901 | 01 |
PA | HIGHMARK | 842925 | 01 |
PA | VALUEOPTIONS | 214037 | 01 |
Street Address |
243 N DUKE ST STE 1 |
City | LANCASTER |
State | PA |
Zip Code | 17602-2779 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093029811 | Diane L Welsh | Counselor | 243 N Duke St, Lancaster, PA 17602 | 2010-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
Find all providers in zip 17602 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235795873 | Michelle Lynn Bybee Coleman | Psychologist | 44103 32nd St W, Lancaster, CA 93536-6130 | 2019-05-18 |
1497899504 | Irit Gat | Psychologist | 43845 10th St W Ste 2e, Lancaster, CA 93534-4800 | 2007-02-20 |
1942218409 | Elizabeth Longo Kresge | Psychologist | 1339 Millersville Pike, Lancaster, PA 17603-6613 | 2006-08-03 |
1194746446 | Psychological Associates Pa | Psychologist | 114 Williams Street, Connelly Bldg Ste 104, Lancaster, SC 29720 | 2006-07-22 |
1457829178 | Empowerment Counseling, LLC | Psychologist | 702 S Madison St, Lancaster, WI 53813-2186 | 2018-11-12 |
1669853925 | Christine Godshall Conway | Psychologist | 415 Harrisburg Ave, Franklin & Marshall College - Appel Health Sciences, Lancaster, PA 17603-2827 | 2015-06-12 |
1992134498 | Elicia Stein | Psychologist | 1808 Colonial Village Ln, Suite 103, Lancaster, PA 17601-6745 | 2013-11-05 |
1538327739 | Joseph Patrick Goldsmith | Psychologist | 114 Williams St, Connelly Building, Suite 104, Lancaster, SC 29720-2483 | 2008-05-26 |
1528040706 | Mark A Hemlick | Psychologist | 1755 Oregon Pike, Suite 200, Lancaster, PA 17601-4272 | 2005-11-15 |
1942282116 | Ruth D Lesher | Psychologist | 1755 Oregon Pike, Ste 200, Lancaster, PA 17601-4272 | 2005-11-15 |
Find all providers in LANCASTER |
Please comment or provide details below to improve the information on PERRY HAZELTINE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.