| Roger K Fretz P H D Inc | |
|
57 E Main St Lititz PA 17543-1941 | |
| (717) 627-4624 | |
| (717) 627-4624 |
| Full Name | Roger K Fretz P H D Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 57 E Main St, Lititz, Pennsylvania |
| Authorized Official Name and Position | Roger Keith Fretz (PRESIDENT) |
| Authorized Official Contact | 7176274624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger K Fretz P H D Inc 57 E Main St Lititz PA 17543-1941 Ph: (717) 627-4624 | Roger K Fretz P H D Inc 57 E Main St Lititz PA 17543-1941 Ph: (717) 627-4624 |
| NPI Number | 1184835423 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184835423 | NPI | - | NPPES |
| PS003768L | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS003768L (Pennsylvania) | Primary |
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