National Provider Identifier Database

SUSAN HAYDAR, PHD – NPI #1730452400
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

SUSAN HAYDAR, PHD
5471 W WATERFORD LN
APPLETON, WI54913-8510
Phone: 920-731-7445
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for SUSAN HAYDAR

NPI Number 1730452400
Credentials PHD
Entity Individual
Enumeration date 02/10/2012
Last updated 05/01/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: PSY24934
  • MA License #: 9408
  • WI License #: 3665-57
  • CA Other: W14158 GROUP PTAN
  • CA Other: ZZZ20041Z GROUP PTAN
  • CA Other: GF591Z PTAN
Hospital affiliation n/a

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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