Individual provider · Type 1 NPI

Susan Elaine Minyard, PH D

Psychologist · Champaign, IL

NPI number 1275642969 Active

Practice location

1701 South Prospect Avenue, Suite 8
Champaign, IL 61820-7050

Fax (217) 355-9066

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X20040161 (IN)
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1275642969

Susan Elaine Minyard, PH D's National Provider Identifier is 1275642969, issued on Aug 29, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.