| Doctor Name: | DR. SUSAN D GIEROK |
| NPI Number: | 1669652657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 1334 |
| Business Practice Address: | 1800 S Australian Ave Suite 205 West Palm Beach, FL - 334096450 |
| Business Phone Number: | 5613179955 |
| Business Fax Number: | 5616890806 |
| Mailing Address: | 1800 S Australian Ave, Suite 205 WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334096450 |
| Phone Number: | 5613179955 |
| Fax Number: | 5616890806 |
| NPI Enumeration Date: | 11/07/2007 |
| NPI Last Update Date: | 07/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 1334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |