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SUZANNE ELIZABETH MICHELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
934 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5326
(434) 296-0762
(434) 971-6924
Mailing address
934 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5326
(434) 296-0762
(434) 971-6924

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002004
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7703252
VA
Enumeration date
11/20/2006
Last updated
07/08/2007
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