Provider Demographics
NPI:1255767570
Name:UNGER, SUSAN L (MS)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:UNGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-9302
Mailing Address - Country:US
Mailing Address - Phone:717-532-4217
Mailing Address - Fax:
Practice Address - Street 1:401 E LOUTHER ST
Practice Address - Street 2:SUITE 213
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2657
Practice Address - Country:US
Practice Address - Phone:717-243-9603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)