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Individual

SUSANNE WITHROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1010 DELAFIELD RD, PITTSBURGH, PA 15215-1802
(412) 822-1952
Mailing address
1010 DELAFIELD RD, PITTSBURGH, PA 15215-1802

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5479
CO
103TC0700X
Clinical Psychologist
5479
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5479
PSYCHOLOGY LICENSE
CO
Enumeration date
06/06/2021
Last updated
10/27/2023
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