Provider Demographics
NPI:1407183957
Name:POINT NORTH PSYCHOLOGY GROUP
Entity Type:Organization
Organization Name:POINT NORTH PSYCHOLOGY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FUINI
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:610-264-7260
Mailing Address - Street 1:167 N COMMERCE WAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8973
Mailing Address - Country:US
Mailing Address - Phone:610-264-7260
Mailing Address - Fax:610-264-7290
Practice Address - Street 1:167 N COMMERCE WAY
Practice Address - Street 2:SUITE 105
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-8973
Practice Address - Country:US
Practice Address - Phone:610-264-7260
Practice Address - Fax:610-264-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016495103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty