Individual
SUSAN A O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4066 HIXSON PIKE, CHATTANOOGA, TN 37415-3110
(423) 870-5650
(423) 870-5638
Mailing address
4066 HIXSON PIKE, CHATTANOOGA, TN 37415-3110
(423) 870-5650
(423) 870-5638
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P01104
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3689079
—
TN
Enumeration date
01/18/2007
Last updated
07/09/2007
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