Provider Demographics
NPI:1568743987
Name:APPLEBAUM, ABBY SEIDEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:SEIDEL
Last Name:APPLEBAUM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 DALTON WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-5304
Mailing Address - Country:US
Mailing Address - Phone:215-582-0547
Mailing Address - Fax:
Practice Address - Street 1:1709 LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1010
Practice Address - Country:US
Practice Address - Phone:215-860-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009077L103T00000X
PA8949017103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool