Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS006603L | PA |
Y | 103T00000X | Psychologist | PS006603L | PA |
NPI | 1013032747 |
---|---|
Provider Name | Ms. Suzanne Jane Kline |
First Address | Hamburg, PA 19526-1418 |
Second Address | Hamburg, PA 19526-8405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 22/04/2020 |