Provider Demographics
NPI:1275673303
Name:KOCHANSKY, JOSEPH P (MA PSYCHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:P
Last Name:KOCHANSKY
Suffix:
Gender:M
Credentials:MA PSYCHOLOGIST
Other - Prefix:
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Mailing Address - Street 1:2352 FRIESIAN ROAD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406
Mailing Address - Country:US
Mailing Address - Phone:717-755-0921
Mailing Address - Fax:
Practice Address - Street 1:2870 CAROL ROAD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402
Practice Address - Country:US
Practice Address - Phone:717-755-0921
Practice Address - Fax:717-751-0783
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005821L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50019595OtherCAPITAL BLUE CROSS
PA657878OtherHIGHMARK BLUE SHIELD
PA162728OtherVALUE OPTIONS
PA0490328000OtherMAGELLAN