Provider Demographics
NPI:1265491518
Name:RIGHTMYER, JONATHAN F (PHD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:F
Last Name:RIGHTMYER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 VARTAN WAY
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9441
Mailing Address - Country:US
Mailing Address - Phone:717-541-8019
Mailing Address - Fax:
Practice Address - Street 1:3700 VARTAN WAY
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9441
Practice Address - Country:US
Practice Address - Phone:717-541-8019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008780L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist