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NPI Code Detail

MEDICARE: MS. SUSAN M PFISTER CARTWRIGHT MA MS PSYS NCSP

MEDICARE: MS. SUSAN M PFISTER CARTWRIGHT MA MS PSYS NCSP
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
1101Y00000XCounselor2438NC
2103TS0200XSchool Psychologist242062SC

General Provider Information

NPI Number : 1811235096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN M PFISTER CARTWRIGHT MA MS PSYS NCSP
Provider Business Mailing Address
First Line : 355 CEDAR SPRINGS RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-4628
Country : US
Telephone Number : 864-591-8657
Fax Number : 864-577-1522
Provider Business Practice Location Address
First Line : 355 CEDAR SPRINGS RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-4628
Country : US
Telephone Number : 864-591-8657
Fax Number : 864-577-1522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2013
Last Update Date : 01/23/2013

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