Individual
SUSAN DENEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
310 S BRIDGE ST, BEDFORD, VA 24523-2706
(434) 534-6159
Mailing address
310 S BRIDGE ST, BEDFORD, VA 24523-2706
(434) 534-6159
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
8013001119
VA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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