| Matt Shollenberger, Phd Pc | |
|
833 North Park Road Suite 204 Wyomissing PA 19610 | |
| (484) 459-6423 | |
| (484) 388-4359 |
| Full Name | Matt Shollenberger, Phd Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 833 North Park Road Suite 204, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Matt Shollenberger (OWNER/COUNSELOR) |
| Authorized Official Contact | 4844596423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Shollenberger, Phd Pc 833 N Park Rd Ste 204 Wyomissing PA 19610-1341 Ph: (484) 459-6423 | Matt Shollenberger, Phd Pc 833 North Park Road Suite 204 Wyomissing PA 19610 Ph: (484) 459-6423 |
| NPI Number | 1063706315 |
|---|---|
| Provider Enumeration Date | 06/03/2011 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063706315 | NPI | - | NPPES |
| 2750535 | Other | PA | HIGHMARK BLUE SHIELD |
| 592454000 | Other | PA | KEYSTONE |
| 2319238000 | Other | PA | IBC |
| 2290709 | Other | PA | CIGNA |
| 50102905 | Other | PA | CAPITAL BLUE CROSS |
| 7784522 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC002868 (Pennsylvania) | Primary |
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