Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL LYNN SUSIC, MA
Active Sole ProprietorPAUL LYNN SUSIC, MA is a Health Service Psychologist healthcare provider located in ST. CHARLES, Missouri. NPI 1790707123 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · ST. CHARLES, MO
Registration Details
- NPI Number
- 1790707123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.091945764748 yrs)
- Last Updated
- Jul 8, 2007
- License
-
01802 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2451 EXECUTIVE DR. STE. 103ST. CHARLES, MO, 63303Browse MO providers · Browse ZIP 63303
- Phone
- 6363009922
- Primary Specialty
-
Health Service Psychologist
103TH0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.