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NPI Code Detail

MEDICARE: DR. SUSAN FLINDERS PH. D.

MEDICARE:  DR. SUSAN  FLINDERS  PH. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist6301007552MI

General Provider Information

NPI Number : 1720156672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN FLINDERS PH. D.
Provider Business Mailing Address
First Line : 2520 JACKSON BLVD
Second Line :
City : HIGHLAND
State : MI
Zip : 48356-1546
Country : US
Telephone Number : 810-444-3274
Fax Number :
Provider Business Practice Location Address
First Line : 1097 UNION LAKE RD
Second Line : SUITE D
City : WHITE LAKE
State : MI
Zip : 48386-4516
Country : US
Telephone Number : 248-363-4420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SUSAN FLINDERS PH. D.” Practice Location

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