Provider Demographics
NPI:1972127850
Name:DR. SUSAN BUCHAN, PHD, PSYCHOLOGIST INC.
Entity type:Organization
Organization Name:DR. SUSAN BUCHAN, PHD, PSYCHOLOGIST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:120-938-1043
Mailing Address - Street 1:4035 STROLLING CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8104
Mailing Address - Country:US
Mailing Address - Phone:209-381-0438
Mailing Address - Fax:
Practice Address - Street 1:838 W 19TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4609
Practice Address - Country:US
Practice Address - Phone:120-938-1043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty