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Paul Lynn Susic, MA
Health Service Psychologist in St. Charles, Missouri
NPI 1790707123

Paul Lynn Susic is a Health Service Psychologist based in Dardenne Prairie, MO and is specialized in Health Service. Paul Lynn Susic practices in St. Charles, MO and has the professional credentials of MA. The NPI Number for Paul Lynn Susic is 1790707123 and holds a License No. 01802 (Missouri).

The current practice location address for Paul Lynn Susic is 2451 Executive Dr. Ste. 103, St. Charles, MO and can be reached out via phone at 636-300-9922.

Location: 2451 Executive Dr. Ste. 103, St. Charles, MO, 63368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790707123
Provider Name
Paul Lynn Susic
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2451 Executive Dr. Ste. 103, St. Charles, MO, 63368
Phone Number
636-300-9922
Fax Number
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2451 Executive Dr. Ste. 103
City
St. Charles
State
Missouri
Zip
63303
Phone Number
636-300-9922
Fax Number
person
Provider Business Mailing Address Details
Address
2451 Executive Dr. Ste. 103
City
St. Charles
State
Missouri
Zip
63303
Phone Number
636-300-9922
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
01802 (Missouri)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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