Provider Demographics
NPI:1255936852
Name:SKYLINE PSYCHOTHERAPY & ASSESSMENT SERVICES, PLLC
Entity type:Organization
Organization Name:SKYLINE PSYCHOTHERAPY & ASSESSMENT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:ANMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:267-281-7407
Mailing Address - Street 1:1500 WOLF ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-4412
Mailing Address - Country:US
Mailing Address - Phone:267-281-7407
Mailing Address - Fax:
Practice Address - Street 1:1500 WOLF ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4412
Practice Address - Country:US
Practice Address - Phone:267-281-7407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty