Provider Demographics
NPI:1578776399
Name:MESSNER, SUZANNE ELAYNE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:ELAYNE
Last Name:MESSNER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3835
Mailing Address - Country:US
Mailing Address - Phone:610-559-8151
Mailing Address - Fax:610-559-9056
Practice Address - Street 1:175 S 21ST ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3835
Practice Address - Country:US
Practice Address - Phone:610-559-8151
Practice Address - Fax:610-559-9056
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003874101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional