Provider Demographics
NPI:1346312857
Name:DEVLIN, MARY J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:J
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102
Mailing Address - Country:US
Mailing Address - Phone:717-234-2315
Mailing Address - Fax:717-234-2319
Practice Address - Street 1:3507 MARKET STREET
Practice Address - Street 2:SUITE 301
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011
Practice Address - Country:US
Practice Address - Phone:717-737-5066
Practice Address - Fax:717-234-2319
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0127981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical