Individual
DR. KENNETH PHILIP SAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5269
Mailing address
134 TORRINGTON CIR, SUFFOLK, VA 23436-1140
(858) 414-9192
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1272
NM
Other
Enumeration date
10/06/2011
Last updated
12/17/2020
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