Provider Demographics
NPI:1750652665
Name:PSYCHOTHERAPY SERVICES LLC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:SOBEL
Authorized Official - Last Name:ORSHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-604-9711
Mailing Address - Street 1:42 E RAYBURN RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07946-1504
Mailing Address - Country:US
Mailing Address - Phone:908-604-9711
Mailing Address - Fax:
Practice Address - Street 1:150 MORRISTOWN RD
Practice Address - Street 2:SUITE 215
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2626
Practice Address - Country:US
Practice Address - Phone:908-306-0355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ02791103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty