Provider Demographics
NPI:1154123727
Name:CORNELL, SUZANNE B
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:B
Last Name:CORNELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 N NEWBERRY ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1099
Mailing Address - Country:US
Mailing Address - Phone:717-843-7884
Mailing Address - Fax:
Practice Address - Street 1:800 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-1627
Practice Address - Country:US
Practice Address - Phone:717-464-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach