Provider Demographics
NPI:1659889079
Name:PSYCHOLOGICAL SERVICES OF HERSHEY
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SERVICES OF HERSHEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AUER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-937-3174
Mailing Address - Street 1:71 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-9723
Mailing Address - Country:US
Mailing Address - Phone:410-937-3174
Mailing Address - Fax:
Practice Address - Street 1:20 VALLEY RD
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1554
Practice Address - Country:US
Practice Address - Phone:410-937-3174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018155261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)