Susan Dvorak is a Psychologist in Milwaukee, Wisconsin. Susan Dvorak practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan Dvorak is 1144438672. The last update date is 2007-07-08.
Susan Dvorak's current location address is 9120 W Hampton Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4144669777 and fax number 4143585590. The mailing address for Susan Dvorak is 9120 W Hampton Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Dvorak |
|---|---|
| Address | 9120 W Hampton Ave, Milwaukee, Wisconsin |
| Phone Number | 4144669777 |
| Fax Number | 4143585590 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1144438672 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9120 W Hampton Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532254960 |
| Phone Number | 4144669777 |
| Fax Number | 4143585590 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1423-057 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39094500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Dvorak by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Dvorak has been assigned the NPI (National Provider Identifier) 1144438672. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Susan Dvorak's physical address?
The Susan Dvorak is physically located at 9120 W Hampton Ave, in the city of Milwaukee, WI, with the postal code 532254960.
What is Susan Dvorak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Dvorak's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Susan Dvorak receive the assignment of its 1144438672 from the Centers for Medicare & Medicaid Services?
The Susan Dvorak was issued its 1144438672 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the details related to Susan Dvorak most recently updated or revised?
The information pertaining to Susan Dvorak, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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