Doctor Name: | DR. SUZANNE LYNN MARTIN |
NPI Number: | 1295920361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PS016195 |
Business Practice Address: | 3477 Corporate Pkwy Suite 100 Center Valley, PA - 180348235 |
Business Phone Number: | 6102177850 |
Business Fax Number: | 4842243501 |
Mailing Address: | 2009 Foothill Rd, BETHLEHEM |
State: | PA |
Postal Code: | 180159051 |
Phone Number: | 6102177850 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS016195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |