| Doctor Name: | DR. SUSAN PAZAK |
| NPI Number: | 1093735599 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY17583 |
| Business Practice Address: | 30131 Town Center Dr Suite 280 Laguna Niguel, CA - 926772034 |
| Business Phone Number: | 9493630700 |
| Business Fax Number: | 9496430114 |
| Mailing Address: | 60 Sentinel Pl, ALISO VIEJO |
| State: | CA |
| Postal Code: | 926563331 |
| Phone Number: | 9493630700 |
| Fax Number: | 9496430114 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 03/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY17583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |