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NPI Profile for Dr SUSAN A DWYER in FORT WAYNE, IN.
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical |
| NPI # | 1508865650 |
|
| Status | Active | |
| Credentials | PHD CLINICAL PSYCHOL | |
| Entity | Individual | |
| Enumeration date | 07/20/2005 | |
| Last updated | 11/09/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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SUSAN A DWYER
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SUSAN A DWYER, PHD CLINICAL PSYCHOL