Individual
DR. LANEE SUSANN RIVERS
Active
Individual
DR. LANEE SUSANN RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
VI-06-022-PSY
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-022-PSY
PSYCHOLOGIST
VI
Enumeration date
01/23/2007
Last updated
07/08/2007
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