Provider Demographics
NPI:1033414065
Name:CAREY, SUSAN M (REEGT, RPSGT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:CAREY
Suffix:
Gender:F
Credentials:REEGT, RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 N BISHOP AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1129
Mailing Address - Country:US
Mailing Address - Phone:484-432-4005
Mailing Address - Fax:610-626-2185
Practice Address - Street 1:295 N BISHOP AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018-1129
Practice Address - Country:US
Practice Address - Phone:484-432-4005
Practice Address - Fax:610-626-2185
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG