SUSAN L. PAULY


Address: 1132a S Rogers St, Bloomington, IN 47403-4770
Phone: 8123350605

SUSAN L. PAULY (NPI# 1851474043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851474043
Entity Type Individual
Full Name SUSAN L. PAULY
Credential PH.D. HSPP
Practice Address 1132a S Rogers St
Bloomington
IN 47403-4770
Practice Telephone 8123350605
Practice Fax Number 8123350606
Mailing Telephone 8123350605
Mailing Fax Number 8123350606
Enumeration Date 2006-10-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
20041215A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN CIGNA PIN # 2027007 01
IN AETNA PIN# 0007851384 01
IN ANTHEM PIN# NON-PAR 01
IN SIHO PIN # 548896P 01

Office Location

Street Address 1132A S ROGERS ST
City BLOOMINGTON
State IN
Zip Code 47403-4770

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NPI Name Taxonomy Address Enumeration
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1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316440191 Julie D'argent Psychologist 205 N College Ave Ste 430, Bloomington, IN 47404 2018-03-17
1932632932 Julie Renee Lafollette Psychologist 3901 E Hagan St, Suite F, Bloomington, IN 47401-8557 2017-04-06
1083155964 The Highlands Psychology Group Psychologist 3100 John Hinkle Place Suite 104, Bloomington, IN 47408-2611 2017-03-13
1548705478 Sarah Lagrange Psychologist 1918 S Hawksmoore Dr, Bloomington, IN 47401-7155 2017-01-02
1487065611 Jesse Steinfeldt Psychologist 6309 Bent Pine Drive, Bloomington, IN 47408-9345 2014-05-09
1114135225 Carolyn Sue Bartley-smith Psychologist 4629 E Morningside Dr, Bloomington, IN 47408-3165 2007-05-21
1245352855 Kimberly Wagner Psychologist 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 2007-04-04
1881722759 Chris Ann Meno Psychologist 600 N Jordan Ave Fl 4, Bloomington, IN 47405-3190 2007-03-01
1710051768 Anne Boch Psychologist 208 N Walnut St Ste 203, Suite 203, Bloomington, IN 47404-4926 2006-11-20
1699310763 Kate Bodack Cullison Psychologist 3100 E John Hinkle Pl Ste 104, Bloomington, IN 47408-2611 2019-11-13
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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