Lack, Susanna Angelica
Lack, Susanna Angelica is an sole proprietor health care provider with primary practice located at 211 N Monroe St 2Nd Floor, Media PA 19063-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lack, Susanna Angelica can be contacted via phone (610) 891-9923.Contact Information
Primary practice address
211 N Monroe St 2Nd Floor
Media PA 19063-3019
Phone: (610) 891-9923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS008960 | Pennsylvania |
Profile Details
| NPI number | 1255311718 |
|---|---|
| LBN Legal business name | Lack, Susanna Angelica |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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