Individual
DR. SUSAN L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 E BETHANY HOME RD STE C296, PHOENIX, AZ 85012-1271
(623) 910-1432
Mailing address
301 E BETHANY HOME RD STE C296, PHOENIX, AZ 85012-1271
(623) 910-1432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1093
SC
103T00000X
Psychologist
Primary
3541
AZ
Other
Enumeration date
01/17/2007
Last updated
01/07/2020
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