Provider Demographics
NPI:1588623359
Name:ADESMAN SEIDEL LTD
Entity Type:Organization
Organization Name:ADESMAN SEIDEL LTD
Other - Org Name:SHARON ADESMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST OWNER VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ADESMAN
Authorized Official - Last Name:FURLONG
Authorized Official - Suffix:
Authorized Official - Credentials:MS CRC
Authorized Official - Phone:215-579-4910
Mailing Address - Street 1:1701 LANGHORNE NEWTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047
Mailing Address - Country:US
Mailing Address - Phone:215-579-4910
Mailing Address - Fax:
Practice Address - Street 1:1701 LANGHORNE NEWTOWN ROAD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-579-4910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00004386101YA0400X
PAPS005545L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0477736000OtherIND BLUE CROSS PERSONAL C