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NPI Code Detail

MEDICARE: DR. SUSIE O. TROXLER INC

MEDICARE: DR. SUSIE O. TROXLER INC
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
1251S00000XCommunity/Behavioral Health Agency
2103T00000XPsychologist2790NC

General Provider Information

NPI Number : 1609391234
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. SUSIE O. TROXLER INC
Provider Business Mailing Address
First Line : PO BOX 41105
Second Line :
City : GREENSBORO
State : NC
Zip : 27404-1105
Country : US
Telephone Number : 336-324-1610
Fax Number : 800-699-7219
Provider Business Practice Location Address
First Line : 3405 W WENDOVER AVE STE E
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-1525
Country : US
Telephone Number : 336-324-1610
Fax Number : 800-699-7219
Authorized Official
Title or Position : OWNER
Name : DR. SUSIE OZETTA TROXLER
Credential : PHD
Telephone Number : 336-324-1610
Provider Enumeration Date : 08/04/2017
Last Update Date : 08/04/2017

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Directions to “DR. SUSIE O. TROXLER INC ” Practice Location

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