Healthcare Provider Details

I. General information

NPI: 1104416965
Provider Name (Legal Business Name): SOUND COMMUNITY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N. FRONT STREET BLDG 2 STE 321
HARRISBURG PA
17102-2188
US

IV. Provider business mailing address

2001 N. FRONT STREET BLDG 2 STE 321
HARRISBURG PA
17102-2188
US

V. Phone/Fax

Practice location:
  • Phone: 717-961-9740
  • Fax:
Mailing address:
  • Phone: 717-961-9740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICOLE WITMAN
Title or Position: PHYSICIAN/PSYCHIATRIST
Credential: DO
Phone: 717-364-9121