Doctor Name: | DR. HEATHER ROSEMARY HOSTLER |
NPI Number: | 1699028480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PS017053 |
Business Practice Address: | 108 S Main St Manheim, PA - 175451602 |
Business Phone Number: | 7176652675 |
Business Fax Number: | 7176656193 |
Mailing Address: | 108 S Main St, MANHEIM |
State: | PA |
Postal Code: | 175451602 |
Phone Number: | 7176652675 |
Fax Number: | 7176656193 |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS017053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |