SUSAN DETRICK, PHD

Psychologist

Active Individual
NPI: 1205881885

Practice Address

1555 PARKMOOR AVE
San Jose, CA 95128

Phone: (408) 282-0402

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes PSY5071 (CA)

Frequently Asked Questions

NPI 1205881885 is the National Provider Identifier for SUSAN DETRICK, PHD, a Psychologist provider located in San Jose, CA. This NPI was enumerated on May 23, 2006.
SUSAN DETRICK, PHD practices at 1555 PARKMOOR AVE, San Jose, CA 95128.

Quick Facts

NPI
1205881885
Type
Individual
Enumerated
May 23, 2006
Last Updated
Jul 8, 2007

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