Paul Lynn Susic, MA
NPI #1790707123 in St. Charles, Missouri
Provider Information
- NPI Number
- 1790707123
- Entity Type
- Individual
- Name
- Paul Lynn Susic, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Health Service
- Credential
- MA
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2451 EXECUTIVE DR. STE. 103
- City
- St. Charles
- State
- Missouri
- ZIP Code
- 63303
- Phone
- (636) 300-9922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
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