Susan C Adelman, PH.D.
Individual provider Active NPI Psychoanalyst · Bryn Mawr, PA
NPI 1346436375 · NPPES record last updated Sep 24, 2007
Key facts
- NPI
- 1346436375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychoanalyst 102L00000X
- License
- PS007543L (PA)
- Practice address
- 28 Garrett Ave
Bryn Mawr, PA 19010-1400 - Phone
- (610) 645-7475
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | PS007543L | PA | Yes |
Addresses
Primary practice location
28 Garrett Ave
Bryn Mawr, PA 19010-1400
Mailing address
469 Wyngate Rd
Wynnewood, PA 19096-2351
Phone (610) 645-7574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD046584 | Other | PA | BLUE CROSS/BLUE SHIELD |
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All providers in Bryn Mawr, PA · Psychoanalyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.