NPI 1306210232

Gus Petrogeorge

Practitioner Marriage & Family Therapist Mechanicsburg, PA

Practice location

Address: 960 Century Dr, Mechanicsburg, PA 17055-4530
Phone: (888) 558-2559
Mailing address: 120 Old Schoolhouse Ln, Mechanicsburg, PA 17055-5665

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MF000664 (PA)

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Registry record

NPI: 1306210232
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2015
Record last updated: 16 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.