Provider Demographics
NPI:1548995251
Name:DAY, SUSAN X
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:X
Last Name:DAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 S SHEPHERD DR APT 804
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-3640
Mailing Address - Country:US
Mailing Address - Phone:713-303-7195
Mailing Address - Fax:
Practice Address - Street 1:1005 S SHEPHERD DR APT 804
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3640
Practice Address - Country:US
Practice Address - Phone:713-303-7195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32905103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist