Organization
SUSQUEHANNA PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA C STAUFFER MS (PRESIDENT)
(717) 362-8900
Entity
Organization
Contact information
Practice address
20 CLEARFIELD STREET, ELIZABETHVILLE, PA 17023-6603
(717) 362-8900
(717) 362-8910
Mailing address
PO BOX 739, ELIZABETHVILLE, PA 17023-0739
(717) 362-8900
(717) 362-8910
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P5006799L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016838420002
—
PA
Enumeration date
12/10/2015
Last updated
05/17/2021
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