Individual
DR. PAUL S SUICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
77 SHADOW LN, LAKELAND, FL 33813-3592
(863) 647-1570
Mailing address
77 SHADOW LN, LAKELAND, FL 33813-3592
(863) 647-1570
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6472
FL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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