Individual
DR. SUSAN MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
272 FENCEPOST LN, PALMYRA, PA 17078-8722
(570) 578-1684
(570) 578-1684
Mailing address
272 FENCEPOST LN, PALMYRA, PA 17078-8722
(570) 578-1684
(570) 578-1684
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017834
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS017834
PA
Other
Enumeration date
11/13/2013
Last updated
05/13/2026
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