Provider Demographics
NPI:1952360174
Name:COMMUNITY PSYCHOLOGICAL SERVICES CONSULTANT, INC.
Entity Type:Organization
Organization Name:COMMUNITY PSYCHOLOGICAL SERVICES CONSULTANT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:SEAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-285-0031
Mailing Address - Street 1:8 OLD 22
Mailing Address - Street 2:
Mailing Address - City:KUTZTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19530-9014
Mailing Address - Country:US
Mailing Address - Phone:610-285-0031
Mailing Address - Fax:610-434-8384
Practice Address - Street 1:2431 WALBERT AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-1325
Practice Address - Country:US
Practice Address - Phone:610-434-2431
Practice Address - Fax:610-434-8384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002054-L103TA0400X, 103TC1900X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty