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Individual
SUSAN ROVIARO
Active
Individual
SUSAN ROVIARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0584
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022095
BCBS
KS
01
—
11759338
CAQH
—
05
—
200450710A
—
KS
Enumeration date
06/14/2006
Last updated
04/22/2008
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