Healthcare Provider Details

I. General information

NPI: 1922382951
Provider Name (Legal Business Name): APPLEBAUM PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 LANGHORNE NEWTOWN RD SUITE 2
LANGHORNE PA
19047-1010
US

IV. Provider business mailing address

44 DALTON WAY
HOLLAND PA
18966-5304
US

V. Phone/Fax

Practice location:
  • Phone: 215-860-7001
  • Fax:
Mailing address:
  • Phone: 215-860-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPS-009077L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number8949017
License Number StatePA

VIII. Authorized Official

Name: ABBY S APPLEBAUM
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 215-582-0547