Individual
SUSAN P NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3970 LA COLINA RD, SANTA BARBARA, CA 93110-1563
(805) 896-6318
Mailing address
3970 LA COLINA RD, SANTA BARBARA, CA 93110-1563
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2605
CA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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