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NPI Code Detail

MEDICARE: SUSANNA CAREW, PSY.D.

MEDICARE: SUSANNA CAREW, PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558885145
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUSANNA CAREW, PSY.D.
Provider Business Mailing Address
First Line : 705 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 856-296-6273
Fax Number :
Provider Business Practice Location Address
First Line : 705 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 856-258-7350
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST/OWNER
Name : DR. SUSANNA CAREW
Credential : PSY.D.
Telephone Number : 856-258-7350
Provider Enumeration Date : 07/26/2017
Last Update Date : 08/15/2022

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