Provider Demographics
NPI:1326708074
Name:DANNER, TOM JR (BSW)
Entity Type:Individual
Prefix:MR
First Name:TOM
Middle Name:
Last Name:DANNER
Suffix:JR
Gender:M
Credentials:BSW
Other - Prefix:MR
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:DANNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ASSOC
Mailing Address - Street 1:757 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:STEELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17113-2916
Mailing Address - Country:US
Mailing Address - Phone:717-805-5236
Mailing Address - Fax:
Practice Address - Street 1:920 CENTURY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-8417
Practice Address - Country:US
Practice Address - Phone:717-766-6974
Practice Address - Fax:717-766-6975
Is Sole Proprietor?:No
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17.1-976-0-287823101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral