| Organization Name: | DMS PSYCHOLOGICAL SERVICES, LLC |
| NPI Number: | 1609110691 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANNE MARINO-SUROVCIK (OWNER) |
| Mailing Address: | 800 Main St Suite 106 Hellertown |
| State: | PA US |
| Postal Code: | 180551535 |
| Phone Number: | 4848513486 |
| Fax Number: | 4848513358 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS009188L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |