Irwin, Susan Grove

Irwin, Susan Grove is an individual health care provider with primary practice located at 506 E Lancaster Ave Lower Level West, Downingtown PA 19335-2776. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Irwin, Susan Grove can be contacted via phone (610) 518-6020.

Contact Information

Primary practice address
506 E Lancaster Ave Lower Level West Downingtown PA 19335-2776
Fax: (610) 518-3892
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC00990 Pennsylvania

Profile Details

NPI number 1043231772
LBN Legal business name Irwin, Susan Grove
Credentials NCC, LPC, CCPD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 28th, 2009 - about 15 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 1043231772 NPPES
Pennsylvania MEDICAID 1007396050010

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