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Individual
DR. SUSAN MARIE OVERHAUSER
Active
Individual
DR. SUSAN MARIE OVERHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29951
CA
103TC2200X
Clinical Child & Adolescent Psychologist
29951
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326413063
—
CA
Enumeration date
12/07/2015
Last updated
02/03/2019
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