Provider First Line Business Practice Location Address:
SOUTHAMPTON PSYCHIATRIC ASSOCIATES
Provider Second Line Business Practice Location Address:
1111 STREET ROAD, SUITE 312
Provider Business Practice Location Address City Name:
SOUTHAMPTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18966-4250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-355-8347
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2007