Healthcare Provider Details

I. General information

NPI: 1366377806
Provider Name (Legal Business Name): SUTTON PSYCHIATRY & BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1856 SUTTON RD
SHAVERTOWN PA
18708-9521
US

IV. Provider business mailing address

1856 SUTTON RD
SHAVERTOWN PA
18708-9521
US

V. Phone/Fax

Practice location:
  • Phone: 570-410-9750
  • Fax: 570-904-8994
Mailing address:
  • Phone: 570-410-9750
  • Fax: 570-904-8994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LYNN 7
Title or Position: OWNER
Credential: PMHNP
Phone: 570-709-5796