Individual
SUZANNE G SALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 JUNE LN, PENN VALLEY, PA 19072-1115
(610) 256-2530
Mailing address
1340 JUNE LN, PENN VALLEY, PA 19072-1115
(610) 256-2530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS009142L
PA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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