Suellen Lovell Ketterer, MA | |
1 W Main St, Fleetwood, PA 19522-1323 | |
(610) 944-0445 | |
Not Available |
Full Name | Suellen Lovell Ketterer |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1 W Main St, Fleetwood, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265904429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC011027 (Pennsylvania) | Primary |
Entity Name | Concern-professional Services For Children, Youth & Families |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376845479 PECOS PAC ID: 2769659945 Enrollment ID: O20120112000122 |
Mailing Address | Practice Location Address |
---|---|
Suellen Lovell Ketterer, MA 1 W Main St, Fleetwood, PA 19522-1350 Ph: (610) 944-0445 | Suellen Lovell Ketterer, MA 1 W Main St, Fleetwood, PA 19522-1323 Ph: (610) 944-0445 |
Louise Jacques, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
Jill Wynne Sober, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-24 N. Franklin St, Fleetwood, PA 19522 Phone: 610-944-0445 Fax: 610-944-1196 | |
Nicole Ann Kacmar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Main St, Fleetwood, PA 19522 Phone: 610-944-0445 | |
Gregory Moyer, M.A., L.P.C., L.M.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-8744 | |
Caitlin Romano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Main St, Fleetwood, PA 19522 Phone: 610-207-1372 | |
Jessica Adam, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 N Franklin St, Fleetwood, PA 19522 Phone: 610-944-0445 |