Provider Demographics
NPI:1891739330
Name:ESHLEMAN, MICHAEL J (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:ESHLEMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:717-812-4200
Mailing Address - Fax:717-845-4791
Practice Address - Street 1:1600 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4508
Practice Address - Country:US
Practice Address - Phone:717-812-4200
Practice Address - Fax:717-845-4791
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004575L103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA024699OtherVALUE OPTIONS
PA687059OtherBC/BS OF MD. CARE FIRST
PA01097301OtherCAPITAL BLUE CROSS
PA172455OtherPA BLUE SHIELD
PA243551OtherMAMSI
PA22028OtherCIGNA BEHAVIORAL HEALTH
PA246840000OtherMAGELLAN
PA620006091OtherMEDICARE RAILROAD
PA172455OtherPA BLUE SHIELD
PAR06454Medicare UPIN