Organization
SYWULAK & WEISS PSYCHOLOGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA E SYWULAK PHD (PARTNER)
(215) 355-8812
Entity
Organization
Contact information
Practice address
928 JAYMOR ROAD, SUITE A 120, SOUTHAMPTON, PA 18966
(215) 355-8812
(215) 355-0926
Mailing address
928 JAYMOR ROAD, SUITE A 120, SOUTHAMPTON, PA 18966
(215) 355-8812
(215) 355-0926
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS003501L
PA
103TC0700X
Clinical Psychologist
PS005712L
NJ
103TC0700X
Clinical Psychologist
PS005712L
PA
106H00000X
Marriage & Family Therapist
Primary
MF000480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428178
BLUE CROSS BLUE SHIELD
PA
01
—
4616180
AETNA
PA
01
—
4664582
AETNA
—
01
—
670165
BLUE CROSS BLUE SHIELD
PA
Enumeration date
12/26/2006
Last updated
09/11/2025
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