Individual
DR. SUSAN LYNN MACQUIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
323 W DRAKE RD, SUITE 124, FORT COLLINS, CO 80526-8115
(970) 407-7223
(970) 568-7191
Mailing address
323 W DRAKE RD, SUITE 124, FORT COLLINS, CO 80526-8115
(970) 407-7223
(970) 568-7191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1143
CO
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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