Individual
DR. SUSAN JOHNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 W LODGES LN, BALA CYNWYD, PA 19004-2646
(610) 291-6706
(610) 617-8775
Mailing address
60 W LODGES LN, BALA CYNWYD, PA 19004-2646
(610) 291-6706
(610) 617-8775
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
MD045066L
PA
Other
Enumeration date
10/05/2008
Last updated
10/05/2008
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