| Doctor Name: | DR. SUSAN LAURA ORBACH |
| NPI Number: | 1073638987 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D |
| License Number: | 6301005018 |
| Business Practice Address: | 26789 Woodward Ave Suite 209 Huntington Woods, MI - 480701335 |
| Business Phone Number: | 2483991617 |
| Business Fax Number: | 2485414666 |
| Mailing Address: | 26789 Woodward Ave., Suite 209 HUNTINGTON WOODS |
| State: | MI |
| Postal Code: | 48070 |
| Phone Number: | 2483991617 |
| Fax Number: | 2485414666 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301005018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |