Provider Demographics
NPI:1831480557
Name:SYNERGY PROFESSIONAL CONSULTING SERVICES INC
Entity Type:Organization
Organization Name:SYNERGY PROFESSIONAL CONSULTING SERVICES INC
Other - Org Name:PSYCHOLOGICAL HEALTH & WELLBEING CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-595-3008
Mailing Address - Street 1:2331 W LINCOLN AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5103
Mailing Address - Country:US
Mailing Address - Phone:714-595-3008
Mailing Address - Fax:
Practice Address - Street 1:2331 W LINCOLN AVE
Practice Address - Street 2:STE 300
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5103
Practice Address - Country:US
Practice Address - Phone:714-595-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23964103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty