Individual
AGNES SUSABDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3825 HOPYARD RD, PLEASANTON, CA 94588-8528
(925) 847-5051
Mailing address
3825 HOPYARD RD, PLEASANTON, CA 94588-8528
(925) 847-5051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24015
CA
Other
Enumeration date
02/01/2013
Last updated
01/03/2022
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