Susquehanna Physician Services

NPI #1871512921 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1871512921
Entity Type: Organization
Organization Name: Susquehanna Physician Services
Primary Specialty: Psychologist
Enumeration Date: Jul 19, 2006
Last Updated: Nov 24, 2015

Practice Location

Address: 1100 GRAMPIAN BLVD
City: Williamsport
State: Pennsylvania
ZIP Code: 17701-1909
Phone: (570) 320-7525

Authorized Official

Name: MS. MELISSA DAVIS
Title: VP/COO
Phone: (570) 320-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

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