Provider Demographics
NPI:1457695074
Name:WANNER, JOAN ANN (MS)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ANN
Last Name:WANNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 W LIBERTY ST
Mailing Address - Street 2:234 LIBERTY PLACE
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2798
Mailing Address - Country:US
Mailing Address - Phone:717-538-0161
Mailing Address - Fax:717-427-1112
Practice Address - Street 1:313 W LIBERTY ST
Practice Address - Street 2:234 LIBERTY PLACE
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2798
Practice Address - Country:US
Practice Address - Phone:717-538-0161
Practice Address - Fax:717-427-1112
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor