Individual
SUSAN MATTIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1861 CHARTER LN, SUITE 118, LANCASTER, PA 17601-6736
(717) 272-6621
(717) 290-1104
Mailing address
1861 CHARTER LN, SUITE 118, LANCASTER, PA 17601-6736
(717) 272-6621
(717) 290-1104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016541
PA
Other
Enumeration date
03/05/2007
Last updated
04/24/2012
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