Individual
MS. SUSAN MARIE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 410, ALLENTOWN, PA 18103-6224
(610) 402-3500
(610) 402-3505
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(610) 969-1914
(610) 969-3951
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS015085
PA
Other
Enumeration date
07/31/2006
Last updated
05/07/2025
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