DR. SUZANNE D. WILLS (NPI# 1477572691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477572691 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE D. WILLS |
| Credential | PH.D. |
| Practice Address |
1001 University Dr Suite 4 State College PA 16801-6600 |
| Practice Telephone | 8142344287 |
| Practice Fax Number | 8142343572 |
| Mailing Telephone | 8142344287 |
| Mailing Fax Number | 8142343572 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PS006526L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | WI1675238 | 01 |
| PA | CAPITAL BLUE CROSS/NCAS | 02083301 | 01 |
| Street Address |
1001 UNIVERSITY DR SUITE 4 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028960 | David J. Brown | Psychologist | 1001 University Dr, Suite 4, State College, PA 16801-6600 | 2006-01-19 |
| 1275749822 | Monica C. Montag | Nutritionist | 1001 University Dr, State College, PA 16801-6600 | 2007-05-14 |
| 1750342002 | Leslie Kathryn Mcgovern | Psychologist | 1001 University Dr, State College, PA 16801-6600 | 2006-03-28 |
| 1235199746 | Karl Bartsch | Psychologist | 1001 University Dr, State College, PA 16801-6600 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548701832 | Lanaster General Hospital | Psychologist | 2150 Harrisburg Pike Ste 200b, Lancaster, PA 17601-2644 | 2017-03-20 |
| 1295026128 | Sheridan C. Kirkpatrick | Psychologist | 1030 Grandview Rd, Oil City, PA 16301-1227 | 2011-04-26 |
| 1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
| 1174740211 | Toni Rex | Psychologist | 104 Limekiln Pike, North Wales, PA 19454-1215 | 2007-04-19 |
| 1093847584 | Kevin J. Kelley | Psychologist | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-03-10 |
| 1861873424 | Harmony Sullivan | Psychologist | 801 N Negley Ave, Suite 7, Pittsburgh, PA 15206-1560 | 2015-06-09 |
| 1063686111 | Karen Anita Zelaya-kendall | Psychologist | 1845 Walnut St, Ste 865, Philadelphia, PA 19103-4712 | 2008-04-19 |
| 1790898419 | Frederick James Kier | Psychologist | 7180 Highland Drive, Va Pittsburgh Healthcare System (116 A-h), Pittsburgh, PA 15203 | 2006-08-16 |
| 1225088313 | Upmc St.margaret | Psychologist | 815 Freeport Rd, 100 Med Arts Bldg Suite 105, Pittsburgh, PA 15215-3301 | 2006-05-11 |
| 1487637807 | Holly Ruckdeschel | Psychologist | 1400 Blackhorse Hill Rd, 14a, Coatesville, PA 19320-2040 | 2005-11-21 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on DR. SUZANNE D. WILLS.
| 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.