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Contact Information

CLINT C STANKIEWICZ, PSY.D., ABPP, FAACP
1512 E CARACAS AVE STE 300
HERSHEY, PA17033
 Phone: 908-386-6330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CLINT C STANKIEWICZ · (Male)

NPI # 1518254705
Status Active
Credentials PSY.D., ABPP, FAACP
Entity Individual
Enumeration date 07/07/2011
Last updated 08/22/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35SI00488600
  • PA License # PS017012
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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