MS. SUSAN MARIE INGRAM (NPI# 1801802921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801802921 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARIE INGRAM |
| Credential | PH.D. |
| Practice Address |
1250 S Cedar Crest Blvd Ste 410 Allentown PA 18103-6224 |
| Mailing Address |
1605 N Cedar Crest Blvd Ste 411 Allentown PA 18104-2323 |
| Practice Telephone | 6104023500 |
| Practice Fax Number | 6104023505 |
| Mailing Telephone | 6109691914 |
| Mailing Fax Number | 6109693951 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS015085 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693126 | Susan Renae Ingram | Physical Therapy Assistant | 911 Stacey Burk Dr, Flora, IL 62839-3241 | 2019-11-17 |
| 1952779878 | Susan Ingram | Registered Nurse | 405 Locust Ave, Oakdale, NY 11769-1651 | 2015-09-09 |
| Street Address |
1250 S CEDAR CREST BLVD STE 410 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104486 | Teresa Anna Duda | Social Worker | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2006-05-24 |
| 1033578836 | Lyssa Gagnon | Psychologist | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2016-02-22 |
| 1740500412 | Shannon Kelley | Psychologist | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063581908 | Barbara Anne Gazze | Clinical Neuropsychologist | 1600 Lehigh Parkway East, Suite P-1, Regency Towers, Allentown, PA 18103-3070 | 2006-11-07 |
| 1629091764 | Martin Joseph Diorio | Clinical Neuropsychologist | 850 S 5th St Fl 4, Allentown, PA 18103-3308 | 2006-07-26 |
| 1972816437 | Elona Moci | Clinical Neuropsychologist | 850 S 5th St, Allentown, PA 18103-3308 | 2010-07-26 |
| 1699921924 | Kaitlin Phelps Fiedler | Clinical Neuropsychologist | 850 S 5th St, Allentown, PA 18103-3308 | 2008-08-18 |
| 1497875199 | Mary Grace Brownsberger | Clinical Neuropsychologist | 850 S 5th St, Psychology Department, Allentown, PA 18103-3308 | 2007-03-29 |
| 1336282524 | Luke Joseph Ciaccio | Clinical Neuropsychologist | 850 S 5th St Fl 4, Allentown, PA 18103-3308 | 2007-02-15 |
| 1164482626 | Barbara L. Cohen | Clinical Neuropsychologist | 211 S Route 100, Allentown, PA 18106-9212 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1821617804 | Fit-minded, LLC | Clinical Neuropsychologist | 101 Forrest Ave, Narberth, PA 19072-2213 | 2020-04-10 |
| 1982238887 | Jesse Matthew Main | Clinical Neuropsychologist | 2150 Harrisburg Pike Fl 2, Lancaster, PA 17601-2644 | 2020-02-28 |
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1972155380 | Community Diagnostic Center for Children | Clinical Neuropsychologist | 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 | 2019-07-15 |
| 1164995023 | Mindful Neuropsychological Services, PC | Clinical Neuropsychologist | 940 E Haverford Rd Ste 303, Bryn Mawr, PA 19010-3859 | 2019-01-03 |
| 1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
| 1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
| 1275033524 | Carla Towsey | Clinical Neuropsychologist | 200 Corporate Cir, Harrisburg, PA 17110-9796 | 2018-02-13 |
| 1093239824 | Ryan P.j. Stocker | Clinical Neuropsychologist | 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.