Provider Demographics
NPI:1427573872
Name:PRESLEY, SUZANNE MARY (LPC)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:MARY
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:MARY
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 BARLEY CIR
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1820
Mailing Address - Country:US
Mailing Address - Phone:717-587-4916
Mailing Address - Fax:
Practice Address - Street 1:131 OAKRIDGE DR UNIT 3
Practice Address - Street 2:
Practice Address - City:MOUNTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17554-1867
Practice Address - Country:US
Practice Address - Phone:717-587-4916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009688101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty