Provider Demographics
NPI:1417215237
Name:BERTOLET, CAROLINE (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:BERTOLET
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:JOYNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 N 7TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-5040
Practice Address - Country:US
Practice Address - Phone:717-376-1245
Practice Address - Fax:717-376-1712
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health