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Individual

DR. SUZANNE M ST. JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
25 WASHINGTON LANE, SUITE A-8 WYNCOTE HOUSE, WYNCOTE, PA 19095
(215) 885-5585
(215) 886-7472
Mailing address
25 WASHINGTON LANE, SUITE A-8 WYNCOTE HOUSE, WYNCOTE, PA 19095
(215) 885-5585
(215) 886-7472

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
098.0000151
VT
102L00000X
Psychoanalyst
Primary
P85822
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098.0000151
PSYCHOANALYST
VT
01
098.0000151
PSYCHOANALYST
Enumeration date
09/30/2009
Last updated
08/29/2017
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