Doctor Name: | DANNEL WISSLER |
NPI Number: | 1053766097 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC008867 |
Business Practice Address: | 2003 Old Rothsville Rd Lititz, PA - 175439133 |
Business Phone Number: | 7173971400 |
Business Fax Number: | 7175094066 |
Mailing Address: | 600h Eden Rd, LANCASTER |
State: | PA |
Postal Code: | 176014205 |
Phone Number: | 7173971400 |
Fax Number: | 7175094066 |
NPI Enumeration Date: | 04/27/2016 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC008867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |