Healthcare Provider Details
I. General information
NPI: 1093746315
Provider Name (Legal Business Name): THE YARDLEY CENTER FOR PSYCHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1098 WASHINGTON CROSSING RD STE 1
WASHINGTON CROSSING PA
18977-1343
US
IV. Provider business mailing address
1098 WASHINGTON CROSSING RD STE 1
WASHINGTON CROSSING PA
18977-1343
US
V. Phone/Fax
- Phone: 215-321-9111
- Fax:
- Phone: 215-321-9111
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YVONNE
D
NEIMAN
Title or Position: DIRECTOR
Credential:
Phone: 215-321-9111