| Sue-ellen Brown, Psy.d | |
|
102 N Pitt St Mercer PA 16137-1207 | |
| (724) 212-9891 | |
| Not Available |
| Full Name | Sue-ellen Brown, Psy.d |
|---|---|
| Speciality | Psychologist |
| Location | 102 N Pitt St, Mercer, Pennsylvania |
| Authorized Official Name and Position | Sue-ellen Brown (PSYCHOLOGIST) |
| Authorized Official Contact | 7242129891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue-ellen Brown, Psy.d 102 N Pitt St Mercer PA 16137-1207 Ph: (724) 212-9891 | Sue-ellen Brown, Psy.d 102 N Pitt St Mercer PA 16137-1207 Ph: (724) 212-9891 |
| NPI Number | 1831617596 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7416215280 |
|---|---|
| Medicare Enrollment ID | O20171228000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831617596 | NPI | - | NPPES |
| 1024582560004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS004408L (Pennsylvania) | Primary |
| Provider Name | Sue-ellen Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841519485 PECOS PAC ID: 1153455431 Enrollment ID: I20100823000722 |
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