Moore-Motily, Susan A

Moore-Motily, Susan A is an individual health care provider with primary practice located at 3939 W Ridge Rd Ste A210, Erie PA 16506-1879. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Moore-Motily, Susan A can be contacted via phone (814) 838-9155.

Contact Information

Primary practice address
3939 W Ridge Rd Ste A210 Erie PA 16506-1879
Fax: (814) 838-9097
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS006812L Pennsylvania

Profile Details

NPI number 1073597696
LBN Legal business name Moore-Motily, Susan A
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 18 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 1073597696 NPPES
Pennsylvania Other 802324 HIGHMARK BC/BS PREMIER BL
Pennsylvania Other 211426 HIGHMARK BC/BS PREMIER BL
Pennsylvania Other 500985 HIGHMARK BC/BS PREMIER BL
Pennsylvania Other 5732205 HIGHMARK BC/BS PREMIER BL

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