Individual
SUSAN BULL
Active
Individual
SUSAN BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS005237L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS005237L
PA
103TC0700X
Clinical Psychologist
Primary
PS005237L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01097101
CAPITAL BLUE CROSS
PA
01
—
184110
PA BLUE SHIELD
PA
01
—
2173377
CIGNA BEHAVIORAL HEALTH
PA
01
—
227688000
MAGELLAN
PA
01
—
3109677
MAMSI
PA
01
—
365485
VALUE OPTIONS
PA
Enumeration date
06/22/2006
Last updated
05/20/2025
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