Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PS002796L | PA |
N | 103T00000X | Psychologist | PS002796L | PA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PS002796L | PA |
Y | 103G00000X | Clinical Psychologist | PS002796L | PA |
Y | 103TC0700X | Clinical Psychologist | PS002796L | PA |
NPI | 1194769117 |
---|---|
Provider Name | Edward J Briercheck |
First Address | York, PA 17403-3026 |
Second Address | York, PA 17402-8626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 10/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01097001 | CAPITAL BLUE CROSS (01) | PA |
095154 | PA BLUE SHIELD (01) | PA |
2115896 | MAMSI (01) | PA |
226406000 | MAGELLAN (01) | PA |
29067 | CIGNA BEHAVIORAL HEALTH (01) | PA |
361897 | VALUE OPTIONS (01) | PA |
620115 | BC/BS OF MD. CARE FIRST (01) | PA |
C30995 | (02) | PA |