Individual
SUZANNE H HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
338
OH
103TC2200X
Clinical Child & Adolescent Psychologist
338
OH
103TF0000X
Family Psychologist
338
OH
Other
Enumeration date
04/27/2006
Last updated
12/08/2010
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