Individual
SUSAN WENZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
139 N 3RD ST, EASTON, PA 18042-1861
(610) 297-5625
Mailing address
730 HIGH ST, LAFAYETTE COLLEGE, DEPARTMENT OF PSYCHOLOGY, EASTON, PA 18042-1761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017779
PA
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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