Provider Demographics
NPI:1104416965
Name:SOUND COMMUNITY SOLUTIONS
Entity type:Organization
Organization Name:SOUND COMMUNITY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PSYCHIATRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-364-9121
Mailing Address - Street 1:2001 N. FRONT STREET
Mailing Address - Street 2:BLDG 2 STE 321
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-2188
Mailing Address - Country:US
Mailing Address - Phone:717-961-9740
Mailing Address - Fax:
Practice Address - Street 1:2001 N. FRONT STREET
Practice Address - Street 2:BLDG 2 STE 321
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-2188
Practice Address - Country:US
Practice Address - Phone:717-961-9740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102835834Medicaid