Provider Demographics
NPI:1568570968
Name:PUSEY, CAROL A (LPC CADC CCDP-D)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:PUSEY
Suffix:
Gender:F
Credentials:LPC CADC CCDP-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MARCHWOOD RD
Mailing Address - Street 2:SUITE 2A-8
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1835
Mailing Address - Country:US
Mailing Address - Phone:484-744-1005
Mailing Address - Fax:610-933-8327
Practice Address - Street 1:47 MARCHWOOD RD
Practice Address - Street 2:SUITE 2A-8
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1835
Practice Address - Country:US
Practice Address - Phone:484-744-1005
Practice Address - Fax:610-933-8327
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000481101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC000481OtherLIC. PROF. COUNSERLOR