Individual
SUSAN KAY SONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3095 KETTERING BLVD, DAYTON, OH 45439-1921
(937) 293-8300
Mailing address
3095 KETTERING BLVD, DAYTON, OH 45439-1921
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-07-3257-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SO4094626
MEDICARE ID-TYPE UNSPECIF
OH
Enumeration date
01/03/2007
Last updated
02/09/2012
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