Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS005161L | PA |
Y | 103T00000X | Psychologist | PS005161L | PA |
N | 103TH0100X | Health Service | PS005161L | PA |
NPI | 1306897798 |
---|---|
Provider Name | Dr. Donald P Masey JR. |
First Address | Lancaster, PA 17601-5896 |
Second Address | Lancaster, PA 17601-5896 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 09/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01791401 | CAPITAL BLUE CROSS (01) | PA |
215567 | VALUE OPTIONS (01) | PA |