Provider Demographics
NPI:1851322135
Name:DREISS, JOSEPH E (PH D)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:DREISS
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 FOREST HILLS DR
Mailing Address - Street 2:STE 38
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1099
Mailing Address - Country:US
Mailing Address - Phone:717-540-5353
Mailing Address - Fax:717-540-5151
Practice Address - Street 1:2215 FOREST HILLS DR
Practice Address - Street 2:STE 38
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1099
Practice Address - Country:US
Practice Address - Phone:717-540-5353
Practice Address - Fax:717-540-5151
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA000737L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADR464244Medicare ID - Type Unspecified