Provider Demographics
NPI:1083782619
Name:BILYNSKY, NATALIE SUFLER (PHD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:SUFLER
Last Name:BILYNSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1719
Mailing Address - Country:US
Mailing Address - Phone:610-892-7315
Mailing Address - Fax:
Practice Address - Street 1:3900 CITY AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-2908
Practice Address - Country:US
Practice Address - Phone:267-275-0764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009237L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist