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NPI Code Detail

MEDICARE: MRS. SUSAN Y MARK-SRACIC MS IN ED

MEDICARE: MRS. SUSAN Y MARK-SRACIC MS IN ED
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
1101Y00000XCounselorS-0017755OH
2101YM0800XMental Health CounselorS-0017755OH
3101YS0200XSchool CounselorS-0017755OH

General Provider Information

NPI Number : 1952322349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN Y MARK-SRACIC MS IN ED
Provider Business Mailing Address
First Line : 1346 VALLEY VIEW DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44512-3751
Country : US
Telephone Number : 330-629-6186
Fax Number :
Provider Business Practice Location Address
First Line : 2401 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2405
Country : US
Telephone Number : 330-744-3320
Fax Number : 330-744-3677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 09/11/2025

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