Evans, Susan M

Evans, Susan M is an sole proprietor health care provider with primary practice located at 12634 Angling Rd , Edinboro PA 16412-1369. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Evans, Susan M can be contacted via phone (814) 449-7542.

Contact Information

Primary practice address
12634 Angling Rd Edinboro PA 16412-1369
Phone: (814) 449-7542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS-005771-L Pennsylvania
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS005771L Pennsylvania

Profile Details

NPI number 1881690063
LBN Legal business name Evans, Susan M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881690063 NPPES
Pennsylvania MEDICAID 1013543460003
Pennsylvania MEDICAID 1013543460004
Pennsylvania MEDICAID 1013543460005

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