Individual
SUZANNE MARIE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
607 IRONWOOD LN, ANDERSON, IN 46011-1651
(765) 400-5086
Mailing address
607 IRONWOOD LN, ANDERSON, IN 46011-1651
(765) 400-5086
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3224-6767
APA
—
Enumeration date
09/11/2018
Last updated
09/11/2018
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