Susan Lynn Pelton
Clinical Psychologist
30 N Michigan Ave Suite 1703
Chicago
, Illinois 60602-3402
Susan Lynn Pelton
Clinical Psychologist
30 N Michigan Ave Suite 1703
Chicago
, Illinois 60602-3402
(312) 909-9699
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Susan Lynn Pelton
- 332 S Michigan Ave Suite 1032
- Chicago, IL
- Zip : 60604-4434
- Phone : (312) 909-9699
Second Address
- Susan Lynn Pelton
- 30 N Michigan Ave Suite 1703
- Chicago, IL
- Zip : 60602-3402
- Phone : (312) 909-9699
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 071-005401 | IL |
| Y | 103TC0700X | Clinical Psychologist | 071-005401 | IL |
National Provider Identifier
| NPI | 1003947847 |
|---|---|
| Provider Name | Susan Lynn Pelton |
| First Address | Chicago, IL 60604-4434 |
| Second Address | Chicago, IL 60602-3402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2007 |
| Last Update Date | 09/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001635663 | BCBSIL (01) | IL |
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.