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DR. SUSAN SKOLEK PSYD

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1114923745

Individual Registrant:
DR. SUSAN  SKOLEK PSYD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16319 THIRD STREET  GUERNEVILLE, CA 95446 US
Tel: 707-869-2849  Fax: 707-869-1477

Contact information for business:
PO BOX 1449  GUERNEVILLE, CA 95446-1449 US
Tel: 707-869-2849  Fax: 707-869-1477

Registration Information:
NPI: 1114923745
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY20220

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE IDZZZ73222Z01
FHC70957FCA05
FHC03887FCA05




HEALTH CARE JOBS CA - Page 1



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