SUSAN J RAUTIO-DIETZ

BLOOMINGTON, IN
NPI1700924800
Former NameSUSAN J RAUTIO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: IN  20040224A)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Dr. SUSAN J RAUTIO-DIETZ Ph.D.
532 N WALNUT ST SUITE D
BLOOMINGTON, IN 47404-3809
Phone number: 812-332-7394
Mailing Address
Dr. SUSAN J RAUTIO-DIETZ Ph.D.
PO BOX 5185
BLOOMINGTON, IN 47407-5185
Phone number: