| Doctor Name: | SUSAN BOYER DRELICK |
| NPI Number: | 1053336131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | PS005971L |
| Business Practice Address: | 19 Central Ave 3rd Floor Oil City, PA - 163012733 |
| Business Phone Number: | 8146786900 |
| Business Fax Number: | 8146786902 |
| Mailing Address: | 19 Central Ave, 3rd Floor OIL CITY |
| State: | PA |
| Postal Code: | 163012733 |
| Phone Number: | 8146786900 |
| Fax Number: | 8146786902 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 02/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PS005971L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |