Provider Demographics
NPI:1922382951
Name:APPLEBAUM PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:APPLEBAUM PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:S
Authorized Official - Last Name:APPLEBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-582-0547
Mailing Address - Street 1:44 DALTON WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-5304
Mailing Address - Country:US
Mailing Address - Phone:215-860-7001
Mailing Address - Fax:
Practice Address - Street 1:1709 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1010
Practice Address - Country:US
Practice Address - Phone:215-860-7001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-009077L103TC1900X
PA8949017103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty