Individual
DR. SUSAN K PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
617 N HUMPHREYS ST STE 101, FLAGSTAFF, AZ 86001-3063
(928) 779-3783
(928) 773-1150
Mailing address
617 N HUMPHREYS ST STE 101, FLAGSTAFF, AZ 86001-3063
(928) 779-3783
(928) 773-1150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3789
AZ
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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