Provider Demographics
NPI:1447648118
Name:STEADMAN, SUZANN (PSYD,SCHOOL PSYCH)
Entity type:Individual
Prefix:DR
First Name:SUZANN
Middle Name:
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:PSYD,SCHOOL PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 FERNDALE LN
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1294
Mailing Address - Country:US
Mailing Address - Phone:610-220-0533
Mailing Address - Fax:
Practice Address - Street 1:223 BYERS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-9565
Practice Address - Country:US
Practice Address - Phone:610-518-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003377101YP2500X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional