MEDICARE: CARANGO & SUTERA THERAPY ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1205392529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARANGO & SUTERA THERAPY ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	5048 W CHESTER PIKE
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5048 W CHESTER PIKE
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2802
Country	:	US
Telephone Number	:	267-226-9998
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER/THERAPIST
Name	:	FRANCESCA SUTERA
Credential	:
Telephone Number	:	267-226-9998

Provider Enumeration Date	:	02/11/2019
Last Update Date	:	02/11/2019

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