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Individual

SUSAN TROUTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 877-8013
(814) 877-8007
Mailing address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 877-8013
(814) 877-8007

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018135
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS 018135
PA LICENSE NUMBER
PA
Enumeration date
10/05/2016
Last updated
10/05/2016
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