Susic Psychological Consulting, Pc in Dardenne Prairie - Clinical
Susic Psychological Consulting, Pc - NPI 1871769406
Susic Psychological Consulting, Pc is a Clinical in Dardenne Prairie, Missouri. Susic Psychological Consulting, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susic Psychological Consulting, Pc is 1871769406. The last update date is 2008-05-04.
Susic Psychological Consulting, Pc's current location address is 350 Trailhead Way, Dardenne Prairie, Missouri. You can contact this provider via phone number 6363009922 and fax number 6363009924. The mailing address for Susic Psychological Consulting, Pc is 350 Trailhead Way, Dardenne Prairie, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Susic Psychological Consulting, Pc |
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Address | 350 Trailhead Way, Dardenne Prairie, Missouri |
Phone Number | 6363009922 |
Fax Number | 6363009924 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO/PRESID |
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Authorized Official Name | Susic L. Paul |
Credentials | MA |
Telephone Number | 6363009922 |
NPI Number Detail
NPI Number | 1871769406 |
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Provider Enumeration Date | 2008-05-04 |
Last Updated Date | 2008-05-04 |
Provider Mailing Address Detail
Address | 350 Trailhead Way |
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City | Dardenne Prairie |
State | Missouri (MO) |
Post Code | 633687588 |
Phone Number | 6363009922 |
Fax Number | 6363009924 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 1802 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
498592518 | MO | -- |
Post Comment/ Review Below
What is the Susic Psychological Consulting, Pc's unique identification number?
The Susic Psychological Consulting, Pc has been assigned the NPI (National Provider Identifier) Number 1871769406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Susic Psychological Consulting, Pc is geographically located?
The Susic Psychological Consulting, Pc is physically situated at the following location: 350 Trailhead Way, Dardenne Prairie, MO, 633687588.
What is Susic Psychological Consulting, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susic Psychological Consulting, Pc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Susic Psychological Consulting, Pc receive its 1871769406 assignment from the Centers for Medicare & Medicaid Services?
The Susic Psychological Consulting, Pc was assigned its 1871769406 by the Centers for Medicare & Medicaid Services on 2008-05-04.
When was the information regarding Susic Psychological Consulting, Pc most recently updated?
The details pertaining to the Susic Psychological Consulting, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-04.
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