| Doctor Name: | DR. SUSAN VANMOUWERIK |
| NPI Number: | 1467660332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY11890 |
| Business Practice Address: | 402 W Ojai Ave Suite 203 Ojai, CA - 930232406 |
| Business Phone Number: | 8056467900 |
| Business Fax Number: | |
| Mailing Address: | 402 W Ojai Ave, Suite 203 OJAI |
| State: | CA |
| Postal Code: | 930232406 |
| Phone Number: | 8056467900 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PSY11890 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |