Mayes, Susan D

Mayes, Susan D is an individual health care provider with primary practice located at 22 Northeast Dr , Hershey PA 17033. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mayes, Susan D can be contacted via phone (717) 531-8338.

Contact Information

Primary practice address
22 Northeast Dr Hershey PA 17033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS004601L Pennsylvania

Profile Details

NPI number 1689626558
LBN Legal business name Mayes, Susan D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 13th, 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 1689626558 NPPES
Pennsylvania MEDICAID 15016180002

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