Provider Demographics
NPI:1609382191
Name:BISKUP, SUSAN CATHERINE (NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CATHERINE
Last Name:BISKUP
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 SHOEMAKER AVE
Mailing Address - Street 2:
Mailing Address - City:WEST WYOMING
Mailing Address - State:PA
Mailing Address - Zip Code:18644-1020
Mailing Address - Country:US
Mailing Address - Phone:570-718-1996
Mailing Address - Fax:
Practice Address - Street 1:1425 SHOEMAKER AVE
Practice Address - Street 2:
Practice Address - City:WEST WYOMING
Practice Address - State:PA
Practice Address - Zip Code:18644-1020
Practice Address - Country:US
Practice Address - Phone:570-718-1996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006431101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional