Susan Deneen, EdS
Psychologist, School in Bedford, VA. Individual provider (NPI-1).
NPI number1982201604
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1982201604
- Entity type
- Individual (NPI-1)
- Name
- Susan Deneen
- Credential
- EdS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 8013001119 | VA | Yes |
Practice location
310 S Bridge StBedford, VA 24523-2706
Phone 434-534-6159
Mailing address
310 S Bridge StBedford, VA 24523-2706
Phone 434-534-6159
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