Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS016237 | PA |
Y | 103T00000X | Psychologist | PS016237 | PA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PS016237 | PA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS016237 | PA |
N | 103TF0000X | Family Psychologist | PS016237 | PA |
N | 103TF0200X | Forensic Psychologist | PS016237 | PA |
N | 103TM1800X | Intellectual & Developmental Disabilities | PS016237 | PA |
N | 103TS0200X | School Psychologist | PS016237 | PA |
NPI | 1194906826 |
---|---|
Provider Name | Dr. Margaret Virginia Sutton |
First Address | West Chester, PA 19382-7778 |
Second Address | West Chester, PA 19382-7778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2007 |
Last Update Date | 22/11/2007 |