Doctor Name: | DR. SUSAN FRALICK-BALL |
NPI Number: | 1053696161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD, MSN |
License Number: | PS16513824 |
Business Practice Address: | 360 Barby Rd Blue Bell, PA - 194221717 |
Business Phone Number: | 2155655803 |
Business Fax Number: | |
Mailing Address: | 360 Barby Rd, BLUE BELL |
State: | PA |
Postal Code: | 194221717 |
Phone Number: | 2155655803 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS16513824 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |