Individual
MRS. SUSANNE JO BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5155 LITTLE FLOCK RD, SPENCER, IN 47460-5878
(812) 876-5202
Mailing address
5155 LITTLE FLOCK RD, SPENCER, IN 47460-5878
(812) 876-5202
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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