Individual
DR. SUSAN PURCELL
Active
Individual
DR. SUSAN PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4336
NC
103TC0700X
Clinical Psychologist
Primary
4336
NC
103TC2200X
Clinical Child & Adolescent Psychologist
4336
NC
103TF0000X
Family Psychologist
4336
NC
103TP2701X
Group Psychotherapy Psychologist
4336
NC
Other
Enumeration date
03/05/2010
Last updated
09/04/2012
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