Healthcare Provider Details

I. General information

NPI: 1063779874
Provider Name (Legal Business Name): NEW DAY PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 EDEN RD
LANCASTER PA
17601-4275
US

IV. Provider business mailing address

780 EDEN RD
LANCASTER PA
17601-4275
US

V. Phone/Fax

Practice location:
  • Phone: 717-735-0515
  • Fax: 866-568-5755
Mailing address:
  • Phone: 717-735-0515
  • Fax: 866-568-5755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT BRIAN CAREY
Title or Position: PSYCHOLOGIST/OWNER
Credential: PSY.D.
Phone: 717-735-0515