Provider Demographics
NPI:1922182781
Name:CUMMINGS AND TANNENBAUM ASSOCIATES PC
Entity Type:Organization
Organization Name:CUMMINGS AND TANNENBAUM ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TANNENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-667-9830
Mailing Address - Street 1:194 ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2667
Mailing Address - Country:US
Mailing Address - Phone:610-667-9830
Mailing Address - Fax:610-667-9866
Practice Address - Street 1:915 MONTGOMERY AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1548
Practice Address - Country:US
Practice Address - Phone:610-667-9830
Practice Address - Fax:610-667-9866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2011-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS3039-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty