MEDICARE: DR. SUSAN X DAY

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
1	103T00000X	Psychologist	32905	TX

General Provider Information

NPI Number	:	1548995251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN X DAY

Provider Business Mailing Address
First Line	:	1005 S SHEPHERD DR APT 804
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-3640
Country	:	US
Telephone Number	:	713-303-7195
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 S SHEPHERD DR APT 804
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-3640
Country	:	US
Telephone Number	:	713-303-7195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	07/18/2022

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Directions to “ DR. SUSAN X DAY ” Practice Location

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