Provider Demographics
NPI:1316155039
Name:SEIDEL, BARBARA A (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:SEIDEL
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 1:730 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-3710
Mailing Address - Country:US
Mailing Address - Phone:215-362-0576
Mailing Address - Fax:
Practice Address - Street 1:1701 LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1003
Practice Address - Country:US
Practice Address - Phone:215-579-4910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005564-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
001662761OtherPERSONAL CHOICE
585186OtherBLUE SHIELD
SE585186Medicare ID - Type Unspecified
001662761OtherPERSONAL CHOICE