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General NPI Number Information
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NPI Number | 1821874223
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Entity Type | Organization
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Legal Business Name | DR SUSAN DELANEY PLLC
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 608 N NAGLE ST
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City | HOUSTON
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State | TX
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Zip | 77003-1134
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Country | US
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Telephone | 713-264-2288
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Fax | 713-581-3832
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Provider Business Mailing Address
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Address Line | 608 N NAGLE ST
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City | HOUSTON
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State | TX
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Zip | 77003-1134
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Country | US
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Telephone | 713-264-2288
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Fax | 713-581-3832
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. SUSAN LYNN DELANEY
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Credential | LPC
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Telephone | 814-713-2642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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