Masonic Villages of the Grand Lodge of Pennsylvania
Masonic Villages of the Grand Lodge of Pennsylvania provides Psychologist services in Elizabethtown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.
- Licensed in
- PA
- In the registry since
- 2012
- Specialties on file
- 8
Practice location Address checks out
581 Freemason DrElizabethtown, PA 17022-3187
Phone: (717) 367-1121
Fax: (717) 367-5813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 131502 (PA) |
|---|---|
| Psychologist | Taxonomy 103T00000X |
| Dentist | Taxonomy 122300000X |
| Optometrist | Taxonomy 152W00000X |
| Ophthalmology Physician | Taxonomy 207W00000X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Podiatrist | Taxonomy 213E00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1720332653 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Formica — Chief Financial Officer · (717) 367-1121 |
| Other names | Masonic Village At Elizabethtown; Masonic Village At Elizabethtown |
| NPI enumerated | October 30, 2012 |
| Last updated in NPPES | May 1, 2023 |
| Certification date | May 1, 2023 |
| Mailing address | 1 Masonic Dr, Elizabethtown, PA 17022-2199 |
Other providers in Elizabethtown
-
Charles Alan Babcock, MED
301 Groff Ave, Elizabethtown, PA 17022-2820 · (717) 575-7444
-
Dr. Jess Allen Lee, PHD
1 Masonic Dr, Elizabethtown, PA 17022-2199 · (717) 367-1121