Organization
LANCASTER PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LEONOR CABOULI (CLINICAL PSYCHOLOGIST)
(717) 475-7263
Entity
Organization
Contact information
Practice address
313 W LIBERTY ST STE 223, LANCASTER, PA 17603-2722
(717) 475-7263
Mailing address
10 N MARKET ST UNIT 404, LANCASTER, PA 17603-3850
(717) 399-3230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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