Mock, Jerry

Mock, Jerry is an individual health care provider with primary practice located at 47 W Pomfret St , Carlisle PA 17013-3217. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mock, Jerry can be contacted via phone (717) 258-0214.

Contact Information

Primary practice address
47 W Pomfret St Carlisle PA 17013-3217
Phone: (717) 258-0214
Fax: (717) 258-3158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 008898L Pennsylvania

Profile Details

NPI number 1417959354
LBN Legal business name Mock, Jerry
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417959354 NPPES
Pennsylvania Other 122278 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania MEDICAID 0017562050002 VALUE OPTIONS
Pennsylvania Other 322506 VALUE OPTIONS
Pennsylvania Other 01756205 VALUE OPTIONS
Pennsylvania Other 595346 VALUE OPTIONS
Pennsylvania Other 01082001 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania Other 485274000 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania Other MO595346 VALUE OPTIONS
Pennsylvania Other 810554001 VALUE OPTIONS
Pennsylvania Other 7134268 VALUE OPTIONS

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