Individual
DR. SUSAN VIRGINIA SANCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
708 CHURCH ST, 219, EVANSTON, IL 60201-3875
(312) 802-4000
Mailing address
821 MICHIGAN AVE, EVANSTON, IL 60202-4436
(312) 802-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071003849
IL
Other
Enumeration date
08/20/2006
Last updated
09/02/2014
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