| Itsa Playful Journey | |
|
2173 Embassy Dr., Suite 164 Lancaster PA 17603 | |
| (717) 431-2027 | |
| (717) 431-2014 |
| Full Name | Itsa Playful Journey |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2173 Embassy Dr.,, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Dianne Jean Mathias (CHILD AND FAMILY THERAPIST) |
| Authorized Official Contact | 7174312027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itsa Playful Journey 2173 Embassy Dr., Suite 164 Lancaster PA 17603 Ph: (717) 431-2027 | Itsa Playful Journey 2173 Embassy Dr., Suite 164 Lancaster PA 17603 Ph: (717) 431-2027 |
| NPI Number | 1740305218 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 01/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740305218 | NPI | - | NPPES |
| PC003842 | Other | PA | LICENSED PROFESSIONAL |
| MIS220198000 | Other | PA | MAGELLAN HEALTH SERVICES |
| 50064527 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC003842 (Pennsylvania) | Primary |
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