Provider Demographics
NPI:1619934452
Name:STOVER, JANE CALDWELL (MS LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:CALDWELL
Last Name:STOVER
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:MISS
Other - First Name:JANE
Other - Middle Name:LOUISE
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:1525 OREGON PIKE
Mailing Address - Street 2:SUITE 1401
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4372
Mailing Address - Country:US
Mailing Address - Phone:717-615-4323
Mailing Address - Fax:717-945-5074
Practice Address - Street 1:1525 OREGON PIKE
Practice Address - Street 2:SUITE 1401
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4372
Practice Address - Country:US
Practice Address - Phone:717-615-4323
Practice Address - Fax:717-945-5074
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003173101YP2500X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist