Susan A Moore-Motily
Counseling Psychologist
3939 W Ridge Rd Ste A210
Erie
, Pennsylvania 16506-1879
Susan A Moore-Motily
Counseling Psychologist
3939 W Ridge Rd Ste A210
Erie
, Pennsylvania 16506-1879
(814) 838-9097
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Susan A Moore-Motily
- 4124 Ridgewood Dr
- Erie, PA
- Zip : 16506-4090
- Fax : (814) 838-9097
- Phone : (814) 838-9155
Second Address
- Susan A Moore-Motily
- 3939 W Ridge Rd Ste A210
- Erie, PA
- Zip : 16506-1879
- Fax : (814) 838-9097
- Phone : (814) 838-9155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | PS006812L | PA |
National Provider Identifier
| NPI | 1073597696 |
|---|---|
| Provider Name | Susan A Moore-Motily |
| First Address | Erie, PA 16506-4090 |
| Second Address | Erie, PA 16506-1879 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 211426 | VALUE OPTIONS (01) | PA |
| 500985 | KEYSTONE HEALTH PLAN WEST (01) | PA |
| 5732205 | AETNA (01) | PA |
| 802324 | HIGHMARK BC/BS PREMIER BL (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.