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Individual

SUSAN LYNN CALHOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 531-8338
(717) 531-6250
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016525
PA
103TC0700X
Clinical Psychologist
Primary
PS016525
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023722130001
PA
01
PS016525
MEDICAL LICENSE
PA
Enumeration date
03/03/2009
Last updated
11/08/2017
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