Individual
SUSAN E LANE-LONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
905 W GOVERNOR RD, SUITE 250, HERSHEY, PA 17033-2307
(717) 531-7235
(717) 531-0067
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008321L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016022180001
—
PA
01
—
036473
MEDICARE GROUP
PA
Enumeration date
06/01/2006
Last updated
04/22/2014
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