Individual provider · Type 1 NPI

Vijayalakshmi Susarla, PhD

Psychologist · Darien, IL

NPI number 1417067190 Active

Practice location

2628 83rd St
Darien, IL 60561-1661

Fax (630) 246-6809

Mailing address

632 Conestoga Rd
Naperville, IL 60563-2491

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X071005075 (IL)

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 1417067190

Vijayalakshmi Susarla, PhD's National Provider Identifier is 1417067190, issued on Aug 30, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Darien, IL. The record was last updated on Dec 11, 2013.