Provider Demographics
NPI:1770799090
Name:WJS PSYCHOLOGICAL ASSOCIATES, INC.
Entity type:Organization
Organization Name:WJS PSYCHOLOGICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIGUT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:724-430-0555
Mailing Address - Street 1:99 S PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4236
Mailing Address - Country:US
Mailing Address - Phone:724-430-0555
Mailing Address - Fax:724-430-0966
Practice Address - Street 1:99 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4236
Practice Address - Country:US
Practice Address - Phone:724-430-0555
Practice Address - Fax:724-430-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0016247990001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016247990001OtherSTATE PROVIDER NUMBER