Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS006212L | PA |
Y | 103T00000X | Psychologist | PS006212L | PA |
NPI | 1003988429 |
---|---|
Provider Name | Dr. Frank Sergi |
First Address | Colmar, PA 18915 |
Second Address | Colmar, PA 18915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 22/07/2010 |