Individual
DR. SUSAN ANSORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3908 RIDGELEA DR, AUSTIN, TX 78731-6127
(512) 797-3654
(512) 391-9021
Mailing address
3908 RIDGELEA DR, AUSTIN, TX 78731-6127
(512) 797-3654
(512) 391-9021
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337652
VALUEOPTIONS
TX
01
—
75GJ
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/08/2007
Last updated
10/14/2022
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