Individual
DR. SUSAN HENDERSON FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
2301 OHIO DRIVE, SUITE 135, PLANO, TX 75093-3992
(972) 612-1188
Mailing address
2301 OHIO DR, STE 135, PLANO, TX 75093-3992
(972) 612-1188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26858
LICENSED PSYCHOLOGIST NUMBER
TX
01
—
44612
NATIONAL HEALTH SERVICE PROVIDER
TX
01
—
5654
LICENSED SPECIALIST SCHOOL PSYCHOLOGY (LSSP)
TX
Enumeration date
05/07/2008
Last updated
05/07/2008
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