Provider Demographics
NPI:1518058767
Name:PSYCHOLOGICAL ASSOCIATES OF LANCASTER INC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL ASSOCIATES OF LANCASTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED PSYCHOLOGIS
Authorized Official - Phone:717-569-8511
Mailing Address - Street 1:2741 LITITZ PIKE
Mailing Address - Street 2:1ST FL
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:717-569-8511
Mailing Address - Fax:717-569-8513
Practice Address - Street 1:2741 LITITZ PIKE
Practice Address - Street 2:1ST FL
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3377
Practice Address - Country:US
Practice Address - Phone:717-569-8511
Practice Address - Fax:717-569-8513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty