| Ms Susanna Moore, MSM LPC | |
|
6930 Market St Fl 2, Upper Darby, PA 19082-2308 | |
| (484) 469-4319 | |
| Not Available |
| Full Name | Ms Susanna Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 6930 Market St Fl 2, Upper Darby, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770258766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC013468 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indlovu Llc | 2961853353 | 4 |
| Entity Name | Indlovu LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619661584 PECOS PAC ID: 2961853353 Enrollment ID: O20240110002577 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susanna Moore, MSM LPC 2541 E Indiana Ave, Philadelphia, PA 19134-4940 Ph: (215) 901-4658 | Ms Susanna Moore, MSM LPC 6930 Market St Fl 2, Upper Darby, PA 19082-2308 Ph: (484) 469-4319 |
Cheryl Zoll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6930 Market St, Upper Darby, PA 19082 Phone: 434-469-4302 |
Chinyere Chukwu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7281 Bradford Rd, Upper Darby, PA 19082 Phone: 610-931-3528 |
John Stanley Raj Chinnaiyan Mathias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6930 Market St, Upper Darby, PA 19082 Phone: 484-469-4319 |
Tyreese Mayo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7191 Ruskin Ln, Upper Darby, PA 19082 Phone: 302-465-8552 |
Grady Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S 69th St, Upper Darby, PA 19082 Phone: 610-352-8943 |
Mr. Tyrone H Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Wiltshire Rd, Upper Darby, PA 19082 Phone: 610-623-3037 Fax: 610-623-3037 |
Donna Alonso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S 69th St, Upper Darby, PA 19082 Phone: 610-352-8943 |