Individual
DR. SUSAN ELIZABETH BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11120 S CROWN WAY STE 1, WELLINGTON, FL 33414-8718
(561) 790-1191
Mailing address
1657 GOLD OAKS RD, DELTONA, FL 32725-4314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10657
FL
103TC0700X
Clinical Psychologist
PY61251624
WA
Other
Enumeration date
09/10/2008
Last updated
04/08/2022
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