| Jean Pollack | |
|
228 Broadway Hanover PA 17331-2501 | |
| (888) 821-2935 | |
| (866) 470-6121 |
| Full Name | Jean Pollack |
|---|---|
| Speciality | Psychologist |
| Location | 228 Broadway, Hanover, Pennsylvania |
| Authorized Official Name and Position | Jean F Pollack (PSYCHOLOGIST) |
| Authorized Official Contact | 8888212935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Pollack 260 Lynbrook Dr N York PA 17402-3228 Ph: (888) 821-2935 | Jean Pollack 228 Broadway Hanover PA 17331-2501 Ph: (888) 821-2935 |
| NPI Number | 1417103912 |
|---|---|
| Provider Enumeration Date | 08/15/2008 |
| Last Update Date | 03/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417103912 | NPI | - | NPPES |
| 0018496090001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSOO6977 (Pennsylvania) | Primary |
| 251S00000X | Community/behavioral Health | PS006977 (Pennsylvania) | Secondary |
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