Healthcare Provider Details

I. General information

NPI: 1134044282
Provider Name (Legal Business Name): FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 BIG OAK RD
YARDLEY PA
19067-4729
US

IV. Provider business mailing address

4 CORNERSTONE DR
LANGHORNE PA
19047-1314
US

V. Phone/Fax

Practice location:
  • Phone: 215-757-6916
  • Fax:
Mailing address:
  • Phone: 215-757-6916
  • Fax: 215-757-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN MICHELE DEFOREST
Title or Position: CEO
Credential:
Phone: 215-757-6916