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Individual

DR. SUSAN MARIE DITTER

Active
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Individual

DR. SUSAN MARIE DITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
0101236675
VA
2084N0400X
Neurology Physician
024803
GA
2084P0800X
Psychiatry Physician
0101236675
VA
2084P0800X
Psychiatry Physician
024803
GA
2084P0800X
Psychiatry Physician
Primary
G87843
CA

Other

Enumeration date
05/30/2007
Last updated
04/03/2008
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