Provider Demographics
NPI:1154094829
Name:SCIARRATTA, SUSAN ANGELA (LPC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ANGELA
Last Name:SCIARRATTA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1637
Mailing Address - Country:US
Mailing Address - Phone:267-994-2426
Mailing Address - Fax:
Practice Address - Street 1:325 STREET RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3109
Practice Address - Country:US
Practice Address - Phone:215-947-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional