| NPI | 1912101692 |
|---|---|
| Professional Name | SUSAN DICKEY BURLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003157) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 2083) |
| 103TC0700X Psychologist, Clinical (Licence: NY 4961) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-03-06 |