Butler Wellness Support Services Wellness Works

NPI 1083625941 - Psychologist - 103T00000X

NPI Details
NPI 1083625941
Enumeration Date 08/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SUSAN MICKLEY SUSAN
Position OWNER PSYCHOLOGIST
Phone (724) 282-0332
Fax (724) 282-2406
Practice Location
349 N MCKEAN STREET
BUTLER PA, 16001-5426, US
Phone (724) 282-0332
Fax (724) 282-2406
Business Location
349 N MCKEAN STREET
BUTLER PA, 16001-5426, US
Phone (724) 282-0332
Fax (724) 282-2406
Toxanomy
Taxonomy Code 103T00000X
License State Pennsylvania
License Number PS008242L
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According to our database, Butler Wellness Support Services Wellness Works NPI is 1083625941, taxonomy code is 103T00000X and license number is PS008242L, license state is located at Pennsylvania. Butler Wellness Support Services Wellness Works physically located at 349 N Mckean Street, Butler PA, 16001-5426. NPI Number 1033115704 has the healthcare provider type.

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1083625941 NPI number is provided on an as is basis without warranty of any kind. 1083625941 is maintained by the National Plan & Provider Enumeration System. The contents of Butler Wellness Support Services Wellness Works are for informational purposes only.