Healthcare Provider Details

I. General information

NPI: 1952360174
Provider Name (Legal Business Name): COMMUNITY PSYCHOLOGICAL SERVICES CONSULTANT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 WALBERT AVE
ALLENTOWN PA
18104-1325
US

IV. Provider business mailing address

8 OLD 22
KUTZTOWN PA
19530-9014
US

V. Phone/Fax

Practice location:
  • Phone: 610-434-2431
  • Fax: 610-434-8384
Mailing address:
  • Phone: 610-285-0031
  • Fax: 610-434-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPS002054-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPS002054-L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPS002054-L
License Number StatePA

VIII. Authorized Official

Name: DR. THOMAS AUSTIN SEAY
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 610-285-0031