Most Relevant Information
Provider Data
| NPI Number: | 1003678335 |
| Provider Name: | JUSTIN ANDREW BERTOLETTE-RUPLEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW024322 |
Most Important Dates
| Enumeration Date: | 01/23/2024 |
| Last Updated: | 01/23/2024 |
Provider Practice Location
1101 EDGAR ST STE C
YORK
PA
174032862
Practice Location Phone/Fax
| Phone: | 7178123066 |
| Fax: |
Provider Mailing Location
2558 MAYFIELD ST
YORK
PA
174063119
Provider Mailing Phone/Fax
| Phone: | 7175429459 |
| Fax: |