MEDICARE: SUSAN LYNN ROOP LPC

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
1	101YP2500X	Professional Counselor	PC001315	PA

General Provider Information

NPI Number	:	1043554660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN LYNN ROOP LPC

Provider Business Mailing Address
First Line	:	205 S DUFFY RD STE B
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-2789
Country	:	US
Telephone Number	:	724-256-9881
Fax Number	:	724-256-9883

Provider Business Practice Location Address
First Line	:	205 S DUFFY RD STE B
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-2789
Country	:	US
Telephone Number	:	724-256-9881
Fax Number	:	724-256-9883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2012
Last Update Date	:	10/29/2025

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