Susan Dvorak PH.D.

NPI 1144438672 - Psychologist - 103T00000X

NPI Details
NPI 1144438672
Gender Female
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9120 W HAMPTON AVE
SUITE 90
MILWAUKEE WI, 53225-4960, US
Phone (414) 466-9777
Fax (414) 358-5590
Business Location
133 N 85TH ST
WAUWATOSA WI, 53226-4601, US
Phone (414) 259-8938
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 1423-057
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According to our database, Dr. Susan Dvorak PH.D. NPI is 1144438672, taxonomy code is 103T00000X and license number is 1423-057, license state is located at Wisconsin. Susan Dvorak PH.D. physically located at 9120 W Hampton Ave, Milwaukee WI, 53225-4960. NPI Number Susan Dvorak PH.D. has the Individual type.

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1144438672 NPI number is provided on an as is basis without warranty of any kind. 1144438672 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Dvorak PH.D. are for informational purposes only.