Doctor Name: | JOHN F DENNIS |
NPI Number: | 1295876910 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. LPC |
License Number: | PC004404 |
Business Practice Address: | 1013 Mumma Rd Suite 303 Lemoyne, PA - 170431144 |
Business Phone Number: | 7177302090 |
Business Fax Number: | 7177307347 |
Mailing Address: | 1755 Oregon Pike, Suite 200 LANCASTER |
State: | PA |
Postal Code: | 176014272 |
Phone Number: | 7175815255 |
Fax Number: | 7175815259 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC004404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |