Dr Susan Shipley, PHD is a
Psychologist - Clinical based in Philadelphia, Pennsylvania. Dr Susan Shipley is licensed to practice in Pennsylvania (license number PS017443) and her current practice location is
265 E Lehigh Ave, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 203-5400.
NPI number for Dr Susan Shipley is 1790112803 and her current mailing address is 265 E Lehigh Ave, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790112803.
Healthcare Provider's Profile
| Full Name | Dr Susan Shipley |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 265 E Lehigh Ave, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790112803
- Provider Enumeration Date: 10/03/2013
- Last Update Date: 10/03/2013
Medical Identifiers
Medical identifiers for Dr Susan Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790112803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | PC003368 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS017443 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Shipley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Susan Shipley, PHD 265 E Lehigh Ave, Philadelphia, PA 19125-1013 Ph: (215) 203-5400 | Dr Susan Shipley, PHD 265 E Lehigh Ave, Philadelphia, PA 19125-1013 Ph: (215) 203-5400 |
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