Individual
DR. SUSAN FRALICK-BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, MSN
Contact information
Practice address
360 BARBY RD, BLUE BELL, PA 19422-1717
(215) 565-5803
Mailing address
360 BARBY RD, BLUE BELL, PA 19422-1717
(215) 565-5803
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS16513824
PA
103TC0700X
Clinical Psychologist
Primary
PS015093
PA
Other
Enumeration date
10/20/2011
Last updated
11/04/2011
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