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Individual
SUSAN G VONDERHEIDE
Active
Individual
SUSAN G VONDERHEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
392
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
066468-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005954
—
NH
Enumeration date
11/07/2006
Last updated
01/22/2025
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