Susan Klostermann
Clinical Child & Adolescent Psychologist
1600 Rockland Rd
Wilmington
, Delaware 19803-3627
Susan Klostermann
Clinical Child & Adolescent Psychologist
1600 Rockland Rd
Wilmington
, Delaware 19803-3627
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Susan Klostermann
- 1600 Rockland Rd
- Wilmington, DE
- Zip : 19803-3627
- Phone :
Second Address
- Susan Klostermann
- 1600 Rockland Rd
- Wilmington, DE
- Zip : 19803-3627
- Fax : (302) 651-4945
- Phone : (302) 651-6212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | DE | |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 071010340 | IL |
National Provider Identifier
| NPI | 1104279405 |
|---|---|
| Provider Name | Susan Klostermann |
| First Address | Wilmington, DE 19803-3627 |
| Second Address | Wilmington, DE 19803-3627 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2016 |
| Last Update Date | 09/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.