Suzanne Petren

NPI #1356486245 in Evanston, Wyoming

Provider Information

NPI Number: 1356486245
Entity Type: Individual
Name: Suzanne Petren
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Enumeration Date: Feb 20, 2007
Last Updated: May 8, 2014

Practice Location

Address: 50 ALLEGIANCE CIR
City: Evanston
State: Wyoming
ZIP Code: 82930-3804
Phone: (307) 789-3710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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