Masonic Villages of the Grand Lodge of Pennsylvania
Masonic Villages of the Grand Lodge of Pennsylvania is a Psychologist 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