Susan Lynn Wiser in Ithaca - Psychologist

Susan Lynn Wiser - NPI 1376604512

Susan Lynn Wiser is a Psychologist in Ithaca, New York. Susan Lynn Wiser practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan Lynn Wiser is 1376604512. The last update date is 2007-07-08.

Susan Lynn Wiser's current location address is 3 Peaceful Dr, Ithaca, New York. You can contact this provider via phone number 6075397206. The mailing address for Susan Lynn Wiser is 3 Peaceful Dr, Ithaca, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Lynn Wiser
Address 3 Peaceful Dr, Ithaca, New York
Phone Number 6075397206
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1376604512
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3 Peaceful Dr
City Ithaca
State New York (NY)
Post Code 148509626
Phone Number 6075397206
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 014437-1
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Susan Lynn Wiser

What is the unique provider identifier assigned to Susan Lynn Wiser?

The Susan Lynn Wiser has been issued the NPI (National Provider Identifier) 1376604512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Susan Lynn Wiser is physically located?

The Susan Lynn Wiser is physically situated at the following address: 3 Peaceful Dr, Ithaca, NY, 148509626.

What is Susan Lynn Wiser's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susan Lynn Wiser is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date was the 1376604512 assigned to Susan Lynn Wiser?

The Susan Lynn Wiser was issued its 1376604512 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Susan Lynn Wiser's details last updated?

The information pertaining to the Susan Lynn Wiser, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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