Provider Demographics
NPI:1225187933
Name:VOCATIONAL SERVICES
Entity Type:Organization
Organization Name:VOCATIONAL SERVICES
Other - Org Name:VOCATIONAL & PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-794-1954
Mailing Address - Street 1:185 FORRESTER RD
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-2515
Mailing Address - Country:US
Mailing Address - Phone:724-794-1954
Mailing Address - Fax:724-794-1905
Practice Address - Street 1:350 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4921
Practice Address - Country:US
Practice Address - Phone:724-287-5604
Practice Address - Fax:724-287-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006079L103T00000X
PAPS005709L103T00000X
PA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty