DR. Susan J Gault, PSYD

NPI #1427125855 in Deerfield, Illinois

Provider Information

NPI Number
1427125855
Entity Type
Individual
Name
DR. Susan J Gault, PSYD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PSYD
Enumeration Date
Nov 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
770 LAKE COOK RD
Address 2
SUITE 250
ZIP Code
60015-4920
Phone
(847) 940-8996

Specialties & Taxonomy Codes

Specialty
Psychologist

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