Most Relevant Information
Provider Data
| NPI Number: | 1003047259 |
| Provider Name: | SUE EI PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PS016760 |
Most Important Dates
| Enumeration Date: | 08/06/2009 |
| Last Updated: | 05/08/2010 |
Provider Practice Location
816 CENTRAL RD
BLOOMSBURG
PA
178158976
Practice Location Phone/Fax
| Phone: | 5703871382 |
| Fax: |
Provider Mailing Location
222 W 9TH ST
BLOOMSBURG
PA
178152506
Provider Mailing Phone/Fax
| Phone: | 7023796277 |
| Fax: |