Individual
DR. SUSAN JACQUELINE KOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, ABPP/ABCN
Contact information
Practice address
309 E JOHN ST, CARSON CITY, NV 89706-3039
(775) 671-5080
Mailing address
PO BOX 1657, CARSON CITY, NV 89702-1657
(775) 671-5080
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0533
NV
103TA0700X
Adult Development & Aging Psychologist
PY0533
NV
103TC0700X
Clinical Psychologist
PY0533
NV
Other
Enumeration date
08/06/2007
Last updated
01/28/2008
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