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Individual

SUZANNE MARIE CSOP

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
(814) 451-2280
Mailing address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
(814) 451-2280

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS006218L
PA
163W00000X
Registered Nurse
Primary
RN281075L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
465230
VALUEOPTIONS
PA
01
513061
HIGHMARK KHPW
PA
01
7756227
AETNA
PA
01
796148
HIGHMARK PAR W/ INDEMNITY
PA
01
93943
CIGNA
PA
Enumeration date
11/08/2005
Last updated
09/11/2025
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