| Organization Name: | VALLEY GEROPSYCH, LLC |
| NPI Number: | 1588900815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAJA SOHAIL ABBAS (SOLE PROPRIETOR) |
| Mailing Address: | 512 Bank St Bowmanstown |
| State: | PA US |
| Postal Code: | 180300010 |
| Phone Number: | 6108261306 |
| Fax Number: | 6105984045 |
| NPI Enumeration Date: | 12/13/2012 |
| NPI Last Update Date: | 12/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0805X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Geriatric Psychiatry |
| Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |