Provider Demographics
NPI:1154593218
Name:SYSLER, JODY (PHD)
Entity type:Individual
Prefix:DR
First Name:JODY
Middle Name:
Last Name:SYSLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 COACHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4203
Mailing Address - Country:US
Mailing Address - Phone:215-968-5908
Mailing Address - Fax:215-579-9469
Practice Address - Street 1:1701 LANGHORNE NEWTOWN RD
Practice Address - Street 2:VICTORIAN COMMONS
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1003
Practice Address - Country:US
Practice Address - Phone:215-968-5908
Practice Address - Fax:215-579-9469
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015105103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical