SUSAN ELAINE MINYARD

CHAMPAIGN, IL
NPI1275642969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: IL  071003548)
Additional Taxonomies103T00000X Psychologist
(Licence: IN  20040161)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
Dr. SUSAN ELAINE MINYARD PH D
1701 SOUTH PROSPECT AVENUE SUITE 8
CHAMPAIGN, IL 61820-7050
Phone number: 217-355-9030
Mailing Address
Dr. SUSAN ELAINE MINYARD PH D
1701 SOUTH PROSPECT AVENUE SUITE 8
CHAMPAIGN, IL 61820-7050
Phone number: 217-355-9030