National Provider Identifier
Susan Ann Tillman, MS ED
Susan Ann Tillman, MS ED is listed in the NPPES registry with a primary specialty of Counselor in Albion, NY and a listed phone number of (585) 682-0338.
Profile Overview
- NPI
- 1427134311
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- October 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 14369 Ridge RD West
- Suite 2
- Albion, NY 14411
Phone: (585) 682-0338
Mailing Address
- 14192 Roosevelt Hwy
- Waterport, NY 14571-9750
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1427134311
- Entity Type
- Individual
- Last Name
- Tillman
- First Name
- Susan
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- MS ED
- Provider Other Last Name
- Tillman
- Provider Other First Name
- Susyn
- Provider Other Middle Name
- A. W.
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- MS ED
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 14192 Roosevelt Hwy
- Mailing City
- Waterport
- Mailing State
- NY
- Mailing ZIP Code
- 14571-9750
- Mailing Country
- US
- Mailing Phone
- (585) 682-9740
- Mailing Fax
- (585) 589-7341
- Practice Street Address
- 14369 Ridge RD West
- Practice Address Line 2
- Suite 2
- Practice City
- Albion
- Practice State
- NY
- Practice ZIP Code
- 14411
- Practice Country
- US
- Practice Phone
- (585) 682-0338
- Practice Fax
- (585) 589-7341
- Enumeration Date
- October 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)