Susan E. R. Mitchell, Psy.d., Llc | |
430 Exton Cmns Exton PA 19341-2451 | |
(484) 887-0312 | |
(267) 295-9905 |
Full Name | Susan E. R. Mitchell, Psy.d., Llc |
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Speciality | Clinic/Center |
Location | 430 Exton Cmns, Exton, Pennsylvania |
Authorized Official Name and Position | Susan E R Mitchell (OWNER) |
Authorized Official Contact | 4848870312 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Susan E. R. Mitchell, Psy.d., Llc 430 Exton Cmns Exton PA 19341-2451 Ph: (484) 887-0312 | Susan E. R. Mitchell, Psy.d., Llc 430 Exton Cmns Exton PA 19341-2451 Ph: (484) 887-0312 |
NPI Number | 1477803492 |
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Provider Enumeration Date | 09/18/2012 |
Last Update Date | 08/23/2022 |
Certification Date | 08/23/2022 |
Medicare PECOS PAC ID | 6103075452 |
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Medicare Enrollment ID | O20121003000011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477803492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | PS0009172L (Pennsylvania) | Primary |
Provider Name | Susan Er Mitchell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275631160 PECOS PAC ID: 7113023920 Enrollment ID: I20070730000021 |
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