Charles D Jantzi, PSY D

NPI #1174606479 in Mt Gretna, Pennsylvania

Provider Information

NPI Number: 1174606479
Entity Type: Individual
Name: Charles D Jantzi, PSY D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSY D
Enumeration Date: Oct 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 283 S BUTLER ROAD
City: Mt Gretna
State: Pennsylvania
ZIP Code: 17064-0550
Phone: (800) 932-0359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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