Provider Demographics
NPI:1205833928
Name:DUNKLE, JUDITHE MARY (LSW)
Entity Type:Individual
Prefix:MRS
First Name:JUDITHE
Middle Name:MARY
Last Name:DUNKLE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:JUDITHE
Other - Middle Name:MARY
Other - Last Name:HIRSCHHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:200 NORTH 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:445 GETTYSBURG PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5169
Practice Address - Country:US
Practice Address - Phone:717-795-8363
Practice Address - Fax:717-796-1466
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW-011975-L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
P32895Medicare UPIN
048210Medicare ID - Type Unspecified