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Individual

DR. SUSAN SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
265 E LEHIGH AVE, PHILADELPHIA, PA 19125-1013
(215) 203-5400
(215) 291-5149
Mailing address
265 E LEHIGH AVE, PHILADELPHIA, PA 19125-1013
(215) 203-5400
(215) 291-5149

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC003368
PA
103TC0700X
Clinical Psychologist
Primary
PS017443
PA

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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