| Susan Eick Psyd Inc | |
|
137 Laxton Rd Ste 200 Lynchburg VA 24502-5294 | |
| (434) 993-8124 | |
| Not Available |
| Full Name | Susan Eick Psyd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 137 Laxton Rd Ste 200, Lynchburg, Virginia |
| Authorized Official Name and Position | Susan Eick (OWNER) |
| Authorized Official Contact | 4349338124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Eick Psyd Inc 3043 Smoky Hollow Rd Lynchburg VA 24504-4347 Ph: (434) 993-8124 | Susan Eick Psyd Inc 137 Laxton Rd Ste 200 Lynchburg VA 24502-5294 Ph: (434) 993-8124 |
| NPI Number | 1982367942 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Medicare PECOS PAC ID | 8224420641 |
|---|---|
| Medicare Enrollment ID | O20220115000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982367942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan E Eick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124119516 PECOS PAC ID: 6002931151 Enrollment ID: I20100914000457 |
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