Provider Demographics
NPI:1285821975
Name:KLEAR, SUSAN ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:KLEAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:65 WASHINGTON ST
Mailing Address - Street 2:PB 229
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-6138
Mailing Address - Country:US
Mailing Address - Phone:408-249-3270
Mailing Address - Fax:408-244-0944
Practice Address - Street 1:1588 HOMESTEAD RD
Practice Address - Street 2:SUITE 11
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4783
Practice Address - Country:US
Practice Address - Phone:408-249-3270
Practice Address - Fax:408-244-0944
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19510103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist