Provider Demographics
NPI:1437481272
Name:MENTZER, ADAM (MSW)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:MENTZER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32B EAST ROSEVILLE RD.
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-9997
Mailing Address - Country:US
Mailing Address - Phone:717-560-2372
Mailing Address - Fax:
Practice Address - Street 1:32B EAST ROSEVILLE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-9997
Practice Address - Country:US
Practice Address - Phone:717-560-2372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor