Individual
DR. SUSAN LYNN DRAGOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1012 NW WALL 260, BEND, OR 97701
(541) 388-0180
(541) 388-0180
Mailing address
1012 NW WALL STREET SUITE 260, BEND, OR 97701
(541) 388-0180
(541) 388-0180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
389
OR
103TF0200X
Forensic Psychologist
Primary
389
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078535 J25302
OR OMAP PROVIDER
OR
Enumeration date
12/22/2006
Last updated
09/11/2025
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