Vijayalakshmi Susarla in Naperville - Psychologist
Vijayalakshmi Susarla - NPI 1417067190
Vijayalakshmi Susarla is a Psychologist in Naperville, Illinois. Vijayalakshmi Susarla practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Vijayalakshmi Susarla is 1417067190. The last update date is 2013-12-11.
Vijayalakshmi Susarla's current location address is 632 Conestoga Rd, Naperville, Illinois. You can contact this provider via phone number 6309751610 and fax number 6302466809. The mailing address for Vijayalakshmi Susarla is 632 Conestoga Rd, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vijayalakshmi Susarla |
|---|---|
| Address | 632 Conestoga Rd, Naperville, Illinois |
| Phone Number | 6309751610 |
| Fax Number | 6302466809 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1417067190 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2013-12-11 |
Provider Mailing Address Detail
| Address | 632 Conestoga Rd |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605632491 |
| Phone Number | 6309751610 |
| Fax Number | 6302466809 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 71005075 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Vijayalakshmi Susarla by the Centers for Medicare & Medicaid Services?
The Vijayalakshmi Susarla has been issued the NPI (National Provider Identifier) 1417067190, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vijayalakshmi Susarla?
The Vijayalakshmi Susarla is physically situated at 632 Conestoga Rd, in the city of Naperville, state of IL, with the postal code 605632491.
What is Vijayalakshmi Susarla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vijayalakshmi Susarla's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Vijayalakshmi Susarla receive its 1417067190 assignment from the Centers for Medicare & Medicaid Services?
The Vijayalakshmi Susarla was assigned its 1417067190 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Vijayalakshmi Susarla last refreshed?
The information related to the Vijayalakshmi Susarla, including its address, specialty, and other relevant details, was last updated on 2013-12-11.