Dr. Suzanne Bauer, Psy.D, J.D

Counselor, Mental Health in Philadelphia, PA. Individual provider (NPI-1).

NPI number1245596287

StatusActive

Last updated in NPPESApr 4, 2012

Details

NPI: 1245596287
Entity type: Individual (NPI-1)
Name: Dr. Suzanne Bauer
Credential: Psy.D, J.D
Sex: Female
Sole proprietor: No
Enumeration date: Apr 4, 2012
Last updated: Apr 4, 2012

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer: Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	133660	PA	Yes

Practice location

3905 Ford Rd
Suite #6
Philadelphia, PA 19131-2824

Phone 215-878-3400 · Fax 215-878-2082

Mailing address

3905 Ford Rd
Suite #6
Philadelphia, PA 19131-2824

Phone 215-878-3400 · Fax 215-878-2082

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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