Organization
SUSIC PSYCHOLOGICAL CONSULTING, PC
Active
Organization
SUSIC PSYCHOLOGICAL CONSULTING, PC
Active
Other names
SENIOR CARE PSYCHOLOGICAL CONSULTING
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL L. SUSIC MA (CEO/PRESIDENT)
(636) 300-9922
Entity
Organization
Contact information
Practice address
2451 EXECUTIVE DR STE 103, SAINT CHARLES, MO 63303-5606
(636) 300-9922
(636) 300-9924
Mailing address
350 TRAILHEAD WAY, DARDENNE PRAIRIE, MO 63368-7588
(636) 300-9922
(636) 300-9924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01802
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498592518
—
MO
Enumeration date
05/04/2008
Last updated
05/04/2008
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