Provider Demographics
NPI:1497797070
Name:ASSOCIATES IN NEUROPSYCHOLOGY & COLLABORATIVE HEALTHCARE, PC
Entity Type:Organization
Organization Name:ASSOCIATES IN NEUROPSYCHOLOGY & COLLABORATIVE HEALTHCARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:570-322-6484
Mailing Address - Street 1:1521 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-5426
Mailing Address - Country:US
Mailing Address - Phone:570-322-6484
Mailing Address - Fax:570-322-6788
Practice Address - Street 1:1521 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-5426
Practice Address - Country:US
Practice Address - Phone:570-322-6484
Practice Address - Fax:570-322-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1800748OtherHIGHMARK BLUE SHIELD
PADF1578OtherRAILROAD MEDICARE/PALMETTO GBA
100440Medicare PIN