Susan L Jungen in Green Bay - Addiction (substance Use Disorder)
Susan L Jungen - NPI 1194811034
Susan L Jungen is a Addiction (substance Use Disorder) in Green Bay, Wisconsin. Susan L Jungen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Susan L Jungen is 1194811034. The last update date is 2007-07-08.
Susan L Jungen's current location address is 300 Crooks Street, Green Bay, Wisconsin. You can contact this provider via phone number 9204366800 and fax number 9204325966. The mailing address for Susan L Jungen is 300 Crooks Street, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Jungen |
|---|---|
| Address | 300 Crooks Street, Green Bay, Wisconsin |
| Phone Number | 9204366800 |
| Fax Number | 9204325966 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194811034 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Crooks Street |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543052308 |
| Phone Number | 9204366800 |
| Fax Number | 9204325966 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39314500 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susan L Jungen by the Centers for Medicare & Medicaid Services?
The Susan L Jungen has been issued the NPI (National Provider Identifier) 1194811034. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan L Jungen is physically located?
The Susan L Jungen is physically situated at the following address: 300 Crooks Street, Green Bay, WI, 543052308.
What is Susan L Jungen's area of expertise and its corresponding taxonomy classification?
The Susan L Jungen's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 103Ta0400X, which categorizes healthcare providers based on their areas of practice.
When did Susan L Jungen receive its 1194811034 assignment?
The Susan L Jungen was assigned its 1194811034 on 2006-10-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Susan L Jungen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan L Jungen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.