Individual
SUSAN BOYER DRELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
19 CENTRAL AVE, 3RD FLOOR, OIL CITY, PA 16301-2733
(814) 678-6900
(814) 678-6902
Mailing address
19 CENTRAL AVE, 3RD FLOOR, OIL CITY, PA 16301-2733
(814) 678-6900
(814) 678-6902
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS005971L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060708
VALUE OPTIONS
PA
01
—
209103
UPMC
PA
01
—
250762000
MAGELLAN
PA
01
—
513351
BLUE SHIELD
PA
01
—
637594
BLUE SHIELD
PA
Enumeration date
07/12/2006
Last updated
02/24/2009
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