Individual
DR. SUSAN MARIE RUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
222 W THOMAS RD, SUITE 401, PHOENIX, AZ 85013-4419
(602) 406-3473
(602) 406-4406
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4108
AZ
103TC0700X
Clinical Psychologist
4108
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546374
—
AZ
Enumeration date
06/29/2010
Last updated
12/09/2019
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