Individual
DR. SUSANNE MUMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(855) 959-1911
Mailing address
7034 S 44TH LN, LAVEEN, AZ 85339-2215
(602) 500-0274
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555855
—
AZ
Enumeration date
03/15/2016
Last updated
08/24/2023
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