Healthcare Provider Details
I. General information
NPI: 1063571958
Provider Name (Legal Business Name): READING PROFESSIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date: 12/07/2007
Reactivation Date: 03/27/2008
III. Provider practice location address
6TH AVENUE & SPRUCE STREET
WEST READING PA
19611
US
IV. Provider business mailing address
50 COMMERCE DR
WYOMISSING PA
19610-3335
US
V. Phone/Fax
- Phone: 610-988-8446
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
FINKEL
Title or Position: CFO
Credential:
Phone: 610-988-8227