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Contact Information

SUSAN SKOLEK, PSYD
16319 THIRD STREET
GUERNEVILLE, CA95446
 Phone: 707-869-2849
 Fax: 707-869-1477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN SKOLEK · (Female)

NPI # 1114923745
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/28/2005
Last updated 04/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY20220
  • CA Medicaid FHC03887F
  • CA Medicaid FHC70957F
  • Other ZZZ73222Z MEDICARE ID
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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