Individual
DR. SUSAN ANVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1769 PARK AVE STE 110, SAN JOSE, CA 95126-2025
(408) 294-9905
(408) 692-9988
Mailing address
1769 PARK AVE STE 110, SAN JOSE, CA 95126-2025
(408) 294-9905
(408) 692-9988
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY 21185
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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