Individual
MRS. SUZANNE KAY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(575) 727-8750
(515) 727-8757
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001118
IA
103T00000X
Psychologist
071.007883
IL
103TH0100X
Health Service Psychologist
000541
IA
Other
Enumeration date
08/16/2010
Last updated
04/25/2017
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