DR. SUSAN D DECESARE


Address: 260 Daleville Highway, Suite 105, Covington Township, PA 18444
Phone: 5702121518

DR. SUSAN D DECESARE (NPI# 1285949370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285949370
Entity Type Individual
Full Name DR. SUSAN D DECESARE
Credential PSY. D.
Practice Address 260 Daleville Highway
Suite 105
Covington Township
PA 18444
Practice Telephone 5702121518
Mailing Telephone 5702121518
Enumeration Date 2010-08-12
Last Update Date 2010-08-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS016835 PA Behavioral Health & Social Service Providers

Office Location

Street Address 260 DALEVILLE HIGHWAY
SUITE 105
City COVINGTON TOWNSHIP
State PA
Zip Code 18444

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City COVINGTON TOWNSHIP
Zip Code 18444

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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