John R Guetter, PH.D.

Individual provider Active NPI Clinical Psychologist · Manheim, PA

NPI 1013074319 · NPPES record last updated Nov 2, 2010

Key facts

NPI
1013074319
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS008167-L (PA)
Practice address
2023 Town SQ N
Manheim, PA 17545-8262
Phone
(717) 665-2674
Fax
(717) 560-2117
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS008167-LPAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS008167-L PA Yes

Addresses

Primary practice location

2023 Town SQ N
Manheim, PA 17545-8262

Mailing address

2023 Town SQ N
Manheim, PA 17545-8262
Phone (717) 665-2674

Other providers in Manheim, PA

All providers in Manheim, PA · Clinical Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.