Provider Information for 1366574642
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Dr. SUZAN S. MCENANY Psy.D.
Sex: Female
NPI: 1366574642
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366574642 | ||||||||
| Enumeration Date | 2007-03-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1499 HUNTINGTON DR #101 SOUTH PASADENA, CA 91030-4552 United States Phone: 626-403-4370 | Fax:626-403-4260 | ||||||||
| Primary Practice Address | 1499 HUNTINGTON DR #101 SOUTH PASADENA, CA 91030-4552 United States Phone: 626-403-4370 | Fax:626-403-4260 | ||||||||
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