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NPI Code Detail

MEDICARE: DR. SUSANNA CAREW PSY.D.

MEDICARE: DR. 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 Psychologist35SI00562100NJ

General Provider Information

NPI Number : 1801242516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. 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 :
Fax Number : 856-258-0622
Provider Business Practice Location Address
First Line : 705 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 856-296-6273
Fax Number : 856-258-0622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2016
Last Update Date : 10/24/2024

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