Provider Demographics
NPI:1780206755
Name:HERSHEY PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:HERSHEY PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-533-5311
Mailing Address - Street 1:431 E CHOCOLATE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1310
Mailing Address - Country:US
Mailing Address - Phone:717-533-5311
Mailing Address - Fax:717-541-8838
Practice Address - Street 1:431 E CHOCOLATE AVE STE 2
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1310
Practice Address - Country:US
Practice Address - Phone:717-533-5311
Practice Address - Fax:717-541-8838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty