Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 23331 | TX |
N | 103T00000X | Psychologist | 23331 | TX |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 23331 | TX |
N | 103G00000X | Clinical Psychologist | 23331 | TX |
N | 103TC0700X | Clinical Psychologist | 23331 | TX |
NPI | 1134132624 |
---|---|
Provider Name | Dr. Susanne R. Doell |
First Address | Austin, TX 78703-4747 |
Second Address | Austin, TX 78703-4782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |