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Individual
SUSANNA CHANG
Active
Individual
SUSANNA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY17376
CA
103TC0700X
Clinical Psychologist
Primary
PSY17376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY173760
—
CA
Enumeration date
07/12/2006
Last updated
07/10/2013
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