Provider Demographics
NPI:1144389214
Name:PSYCHOLOGY ASSOCIATES OF NH PLEASANT PA
Entity Type:Organization
Organization Name:PSYCHOLOGY ASSOCIATES OF NH PLEASANT PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:843-884-3888
Mailing Address - Street 1:1041 JOHNNIE DODDS BLVD
Mailing Address - Street 2:SUITE 14B
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464
Mailing Address - Country:US
Mailing Address - Phone:843-884-3888
Mailing Address - Fax:843-884-8124
Practice Address - Street 1:1041 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE 14B
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-884-3888
Practice Address - Fax:843-884-8124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC313103TC0700X
SC674103TC0700X
SC325103TC0700X
SC296103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty