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Contact Information

SUSAN HAYDAR, PHD
5471 W WATERFORD LN
APPLETON, WI54913-8510
 Phone: 920-731-7445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN HAYDAR · (Female)

NPI Number 1730452400
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/10/2012
Last updated 05/01/2019 - About 7 years ago
Sole proprietor 1 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(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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