Grubb, Susan Elaine

Grubb, Susan Elaine is an individual health care provider with primary practice located at 618 Cumberland St , Lebanon PA 17042-5232. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Grubb, Susan Elaine can be contacted via phone (717) 274-2741.

Contact Information

Primary practice address
618 Cumberland St Lebanon PA 17042-5232
Phone: (717) 274-2741
Fax: (717) 274-5405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH000563 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X PC008798 Pennsylvania

Profile Details

NPI number 1447666839
LBN Legal business name Grubb, Susan Elaine
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Jul 2nd, 2019 - about 7 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 1447666839 NPPES
Pennsylvania MEDICAID 103428940

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