Provider Demographics
NPI:1881637817
Name:PRINTZ, ADOLPH (PHD)
Entity Type:Individual
Prefix:
First Name:ADOLPH
Middle Name:
Last Name:PRINTZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:DOLPH
Other - Middle Name:M
Other - Last Name:PRINTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6340
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:3550 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8626
Practice Address - Country:US
Practice Address - Phone:717-851-6340
Practice Address - Fax:717-851-6349
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009378L103T00000X, 103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPR919874OtherPA BLUE SHIELD
PA464464OtherVALUE OPTIONS
PA279457000OtherMAGELLAN
PA2153568OtherCIGNA BEHAVIORAL HEALTH
PA01096201OtherCAPITAL BLUE CROSS
PA293517OtherMAMSI
PA619123OtherBC/BS OF MD CARE FIRST
PAPR919874OtherPA BLUE SHIELD
PA619123OtherBC/BS OF MD CARE FIRST