Individual
SUSAN IRENE CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
331 S 600 E, SALT LAKE CITY, UT 84102-4013
(801) 613-7305
Mailing address
1355 GRANITE DR, RENO, NV 89509-3925
(812) 325-3666
(775) 327-2293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9307447-2501
UT
103T00000X
Psychologist
PY1139
NV
Other
Enumeration date
12/13/2006
Last updated
09/30/2024
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