Provider Demographics
NPI:1477744696
Name:PSYCHOLOGICAL SERVICES OF JENKINTOWN LLC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SERVICES OF JENKINTOWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:HELMAN
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-887-1113
Mailing Address - Street 1:1 ABINGTON PLAZA SUITE 404
Mailing Address - Street 2:OLD YORK ROAD AND TOWNSHIP LINE ROAD
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-887-1113
Mailing Address - Fax:215-887-1113
Practice Address - Street 1:1 ABINGTON PLAZA SUITE 404
Practice Address - Street 2:OLD YORK ROAD AND TOWNSHIP LINE ROAD
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:215-887-1113
Practice Address - Fax:215-887-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015596103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty