Individual
DR. SUZANNE D. WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1001 UNIVERSITY DR, SUITE 4, STATE COLLEGE, PA 16801-6600
(814) 234-4287
(814) 234-3572
Mailing address
1001 UNIVERSITY DR, SUITE 4, STATE COLLEGE, PA 16801-6600
(814) 234-4287
(814) 234-3572
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
PS006526L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02083301
CAPITAL BLUE CROSS/NCAS
PA
01
—
WI1675238
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/19/2006
Last updated
07/08/2007
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