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DR. SUSAN FRANCES TAPERT PH.D.

Clinical Neuropsychologist

San Diego, California

Provider NPI: 1366464208

Provider Information:
DR. SUSAN FRANCES TAPERT PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
3350 LA JOLLA VILLAGE DR (116B) SAN DIEGO, CA 92161 US
Tel: 858-552-8585  Fax: 858-642-6474

Business Mailing Address:
3350 LA JOLLA VILLAGE DR (116B) SAN DIEGO, CA 92161 US
Tel: 858-552-8585  Fax: 858-642-6474

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY16727
X103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY16727
X103TA0400XBehavioral Health & Social Service Providers
Psychologist
CAPSY16727
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY16727
X103TP2701XBehavioral Health & Social Service Providers
Psychologist
CAPSY16727

Other Provider Identifiers:

IssuerNumberStateType
MHN251224CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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