Provider Demographics
NPI:1568680890
Name:SAWATSKY, JAMES A (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:SAWATSKY
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11837 N WAYLAND RD
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-6055
Mailing Address - Country:US
Mailing Address - Phone:814-398-5400
Mailing Address - Fax:724-983-1387
Practice Address - Street 1:11488 STATE HWY 98
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335
Practice Address - Country:US
Practice Address - Phone:814-337-2224
Practice Address - Fax:724-983-1387
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006938103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007589320007Medicaid