Provider Demographics
NPI:1003448465
Name:GSV PSYCHOLOGICAL & TESTING SERVICES
Entity Type:Organization
Organization Name:GSV PSYCHOLOGICAL & TESTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:SEBASTIAN
Authorized Official - Last Name:VILLAROSE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:610-324-1307
Mailing Address - Street 1:134 JOHN ROBERT THOMAS DRIVE
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2656
Mailing Address - Country:US
Mailing Address - Phone:610-324-1307
Mailing Address - Fax:
Practice Address - Street 1:134 JOHN ROBERT THOMAS DRIVE
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2656
Practice Address - Country:US
Practice Address - Phone:610-324-1307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty