Individual
DR. SUSAN B. PAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
805
KS
103TC0700X
Clinical Psychologist
PY01506
MO
Other
Enumeration date
07/22/2006
Last updated
01/11/2021
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