DR. Vijayalakshmi Susarla, PH.D

NPI #1417067190 in Darien, Illinois

Provider Information

NPI Number: 1417067190
Entity Type: Individual
Name: DR. Vijayalakshmi Susarla, PH.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D
Enumeration Date: Aug 30, 2006
Last Updated: Dec 11, 2013

Practice Location

Address: 2628 83RD ST
City: Darien
State: Illinois
ZIP Code: 60561-1661
Phone: (630) 246-6810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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