Provider Demographics
NPI:1326272600
Name:COGNITIVE HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COGNITIVE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHRISTNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:717-632-8400
Mailing Address - Street 1:100 W EISENHOWER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1142
Mailing Address - Country:US
Mailing Address - Phone:717-632-8400
Mailing Address - Fax:717-632-9300
Practice Address - Street 1:100 W EISENHOWER DR
Practice Address - Street 2:SUITE A
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1142
Practice Address - Country:US
Practice Address - Phone:717-632-8400
Practice Address - Fax:717-632-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty