Individual
SUSAN EILEEN DONAHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
660 WOELFEL RD, BROOKFIELD, WI 53045-2927
(262) 789-8089
Mailing address
139 W. RAND RD, ARLINGTON HEIGHTS, IL 60004-3985
(847) 259-8583
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2665-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053591354
NPI
WI
Enumeration date
11/05/2007
Last updated
01/14/2009
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