Healthcare Provider Details

I. General information

NPI: 1801832126
Provider Name (Legal Business Name): SUSAN BULL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN NEFF MS

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 WILLIAMS RD
YORK PA
17402-9000
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-6340
  • Fax: 717-851-6349
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS005237L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS005237L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS005237L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: