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General NPI Number Information
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NPI Number | 1316157456
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Entity Type | Individual
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Provider Name | SUSAN ANN DYER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 820 LAS GALLINAS AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3410
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Country | US
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Telephone | 415-444-3512
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Fax | 415-444-3019
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Provider Business Mailing Address
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Address Line | 705 BLACKFOOT CT
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City | SAN JOSE
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State | CA
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Zip | 95123-4105
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Country | US
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Telephone | 408-972-1356
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 21377
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License Number State | CA
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