Detrick, Susan P.

Detrick, Susan P. is an individual health care provider with primary practice located at 1555 Parkmoor Ave , San Jose CA 95128-2407. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Detrick, Susan P. can be contacted via phone (408) 282-0402.

Contact Information

Primary practice address
1555 Parkmoor Ave San Jose CA 95128-2407
Phone: (408) 282-0402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY5071 California

Profile Details

NPI number 1205881885
LBN Legal business name Detrick, Susan P.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers