Individual
SUZANNE MARIE O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCSP
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4373515
AZ
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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