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Individual
DR. SUZANNE KATHRYN TAVANO
Active
Individual
DR. SUZANNE KATHRYN TAVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PH.D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9950
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
W213270
CA
Other
Enumeration date
07/16/2015
Last updated
07/24/2015
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