Provider Demographics
NPI:1114134905
Name:FAMILY DEVELOPMENT SERVICES, P.C.
Entity Type:Organization
Organization Name:FAMILY DEVELOPMENT SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-901-9280
Mailing Address - Street 1:56 ERFORD RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2304
Mailing Address - Country:US
Mailing Address - Phone:717-901-9280
Mailing Address - Fax:717-909-1288
Practice Address - Street 1:56 ERFORD RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2304
Practice Address - Country:US
Practice Address - Phone:717-901-9280
Practice Address - Fax:717-909-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005101L103G00000X, 103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty