Provider Demographics
NPI:1073951984
Name:ELIZABETH SOUCAR, PH.D., LLC
Entity Type:Organization
Organization Name:ELIZABETH SOUCAR, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUCAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:267-229-8465
Mailing Address - Street 1:34 HEATHER CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1542
Mailing Address - Country:US
Mailing Address - Phone:267-229-8465
Mailing Address - Fax:
Practice Address - Street 1:696 SECOND STREET PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1068
Practice Address - Country:US
Practice Address - Phone:267-229-8465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016692103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty