Healthcare Provider Details

I. General information

NPI: 1497620421
Provider Name (Legal Business Name): SUSAN SUTTON STOPPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N WASHINGTON AVE STE 711
SCRANTON PA
18503-1541
US

IV. Provider business mailing address

21 CHATHAM HILL CIR
CLARKS SUMMIT PA
18411-8796
US

V. Phone/Fax

Practice location:
  • Phone: 570-290-7133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC001545
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: