Lana N. Susskind-Wilder in Phoenix - Clinical Neuropsychologist

Lana N. Susskind-Wilder - NPI 1376618520

Lana N. Susskind-Wilder is a Clinical Neuropsychologist in Phoenix, Arizona. Lana N. Susskind-Wilder practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Lana N. Susskind-Wilder is 1376618520. The last update date is 2008-01-14.

Lana N. Susskind-Wilder's current location address is 7323 N 12th Ave, Phoenix, Arizona. You can contact this provider via phone number 6024109011 and fax number 4809225569. The mailing address for Lana N. Susskind-Wilder is 7323 N 12th Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Lana N. Susskind-Wilder
Address 7323 N 12th Ave, Phoenix, Arizona
Phone Number 6024109011
Fax Number 4809225569
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1376618520
Provider Enumeration Date 2006-11-22
Last Updated Date 2008-01-14

Provider Mailing Address Detail

Address 7323 N 12th Ave
City Phoenix
State Arizona (AZ)
Post Code 850218023
Phone Number 6024109011
Fax Number 4809225569

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 3842
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z60229 AZ MEDICARE GROUP PIN

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FAQs about Lana N. Susskind-Wilder

What is the Lana N. Susskind-Wilder's 1376618520?

The Lana N. Susskind-Wilder's NPI (National Provider Identifier) Number is 1376618520. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lana N. Susskind-Wilder located?

The Lana N. Susskind-Wilder is located at 7323 N 12Th Ave, Phoenix, AZ 850218023.

What is Lana N. Susskind-Wilder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lana N. Susskind-Wilder is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

When did Lana N. Susskind-Wilder receive its 1376618520 assignment?

The Lana N. Susskind-Wilder was assigned its 1376618520 on 2006-11-22, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Lana N. Susskind-Wilder last refreshed?

The information related to the Lana N. Susskind-Wilder, including its address, specialty, and other relevant details, was last updated on 2008-01-14.

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