Individual
DR. SUZAN LYNN DULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, PA-C
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Mailing address
905 W RIVERSIDE AVE STE 208, SPOKANE, WA 99201-1099
(509) 747-0165
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY60420557
WA
363AM0700X
Medical Physician Assistant
Primary
PA10002915
WA
Other
Enumeration date
09/22/2011
Last updated
03/09/2020
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