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Contact Information

SUSAN G MATLOCK HETZEL, PhD
4208 GORMAN AVE
WACO, TX76710
 Phone: 254-716-4222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN G MATLOCK HETZEL · (Female)

NPI Number 1881821338
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/11/2009
Last updated 01/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 34131
Hospital affiliation(s)
  • SCOTT & WHITE MEMORIAL HOSPITAL - (Acute Care)
    2401 31ST ST
    TEMPLE, TX 76508
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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