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Individual
DR. SUZANNE GRAUPNER PIKE
Active
Individual
DR. SUZANNE GRAUPNER PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 16492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-2794754
TAX ID OTHER THAN SS#
—
01
—
PSY 164920
MEDICAL
CA
Enumeration date
01/18/2007
Last updated
07/09/2007
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