Individual provider · Type 1 NPI

Susan Elizabeth Willis, PhD

Clinical Psychologist · Winston-Salem, NC

NPI number 1689627945 Active

Practice location

1066 W 4th St
Winston-Salem, NC 27101-2434

Fax (336) 734-1188

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1370 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1689627945

Susan Elizabeth Willis, PhD's National Provider Identifier is 1689627945, issued on May 18, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 13, 2026.