Provider Demographics
NPI:1306897798
Name:MASEY, DONALD P JR (PSY D)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:P
Last Name:MASEY
Suffix:JR
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 CHARTER LN
Mailing Address - Street 2:LIFE MANAGEMENT ASSOCIATES
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5896
Mailing Address - Country:US
Mailing Address - Phone:717-394-6688
Mailing Address - Fax:717-394-6804
Practice Address - Street 1:1848 CHARTER LN
Practice Address - Street 2:LIFE MANAGEMENT ASSOCIATES
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-5896
Practice Address - Country:US
Practice Address - Phone:717-394-6688
Practice Address - Fax:717-394-6804
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005161L103TH0100X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA215567OtherVALUE OPTIONS
PA01791401OtherCAPITAL BLUE CROSS
PA215567OtherVALUE OPTIONS