Provider Demographics
NPI:1992893317
Name:SUMMIT PSYCHOLOGICAL SERVICES PA
Entity type:Organization
Organization Name:SUMMIT PSYCHOLOGICAL SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-273-5558
Mailing Address - Street 1:86 SUMMIT AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3647
Mailing Address - Country:US
Mailing Address - Phone:908-273-5558
Mailing Address - Fax:908-273-3355
Practice Address - Street 1:86 SUMMIT AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3647
Practice Address - Country:US
Practice Address - Phone:908-273-5558
Practice Address - Fax:908-273-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty