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NPI Code Detail

MEDICARE: MRS. SUZANNE DAWN BURTON LPC

MEDICARE:  MRS. SUZANNE DAWN BURTON  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
1101YP2500XProfessional CounselorPC002629PA

General Provider Information

NPI Number : 1174519912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE DAWN BURTON LPC
Provider Business Mailing Address
First Line : 330 CEDAR RD
Second Line :
City : HERSHEY
State : PA
Zip : 17033-9302
Country : US
Telephone Number : 717-534-2076
Fax Number : 415-534-2073
Provider Business Practice Location Address
First Line : 330 CEDAR RD
Second Line :
City : HERSHEY
State : PA
Zip : 17033-9302
Country : US
Telephone Number : 717-534-2076
Fax Number : 415-534-2073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/07/2008

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Directions to “ MRS. SUZANNE DAWN BURTON LPC” Practice Location

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