Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | ||
Y | 103TC0700X | Clinical Psychologist |
NPI | 1003328766 |
---|---|
Provider Name | Dr. Suzanne Emily Roussel |
First Address | Langhorne, PA 19047-1663 |
Second Address | Doylestown, PA 18901-2366 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2017 |
Last Update Date | 02/11/2017 |