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Contact Information

SUSAN K WYNNE, MD
16007 VIA SHAVANO
SUITE 101
SAN ANTONIO, TX78249
 Phone: 210-615-8900
 Fax: 210-615-9400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SUSAN K WYNNE · (Female)

NPI Number 1245305234
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2006
Last updated 02/09/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # K1141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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