Provider Demographics
NPI:1730254772
Name:SCHENTZEL, SEITH JEFFREY (PHD)
Entity type:Individual
Prefix:DR
First Name:SEITH
Middle Name:JEFFREY
Last Name:SCHENTZEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049
Mailing Address - Country:US
Mailing Address - Phone:610-965-6418
Mailing Address - Fax:610-965-6382
Practice Address - Street 1:555 HARRISON ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049
Practice Address - Country:US
Practice Address - Phone:610-965-6418
Practice Address - Fax:610-965-6382
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003332 L103G00000X, 103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA652422H2CMedicare PIN
PAR08324Medicare UPIN