Provider Demographics
NPI:1114096864
Name:BITZER, JOAN L (MS)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:L
Last Name:BITZER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 CAROL RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3865
Mailing Address - Country:US
Mailing Address - Phone:717-755-0921
Mailing Address - Fax:717-751-0783
Practice Address - Street 1:2870 CAROL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3865
Practice Address - Country:US
Practice Address - Phone:717-755-0921
Practice Address - Fax:717-751-0783
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003616L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01800102OtherCAPITAL BLUE CROSS
PA191107OtherVALUE OPTIONS
PA0069411000OtherMAGELLAN HEALTH SERVICES
PA11626022OtherCAQH
PA421654OtherHIGHMARK BLUE SHIELD