| Doctor Name: | SUE ELLEN RAPP |
| NPI Number: | 1215096300 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | R037230-1 |
| Business Practice Address: | 300 Main St Vestal, NY - 138501545 |
| Business Phone Number: | 6077542587 |
| Business Fax Number: | |
| Mailing Address: | 248 Noyes Rd, VESTAL |
| State: | NY |
| Postal Code: | 138505616 |
| Phone Number: | 6077542587 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | R037230-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |