Provider Demographics
NPI:1194088625
Name:SCHUG, SERAN E (PHD)
Entity type:Individual
Prefix:DR
First Name:SERAN
Middle Name:E
Last Name:SCHUG
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 1:8562 TRUMBAUER DR
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7451
Mailing Address - Country:US
Mailing Address - Phone:267-574-4248
Mailing Address - Fax:
Practice Address - Street 1:4 TERRY DR
Practice Address - Street 2:THE ATRIUM, SUITE 11
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1838
Practice Address - Country:US
Practice Address - Phone:215-264-7118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional