Gary Michael Sussman in Lithia Springs - Clinical
Gary Michael Sussman - NPI 1669461646
Gary Michael Sussman is a Clinical in Lithia Springs, Georgia. Gary Michael Sussman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Michael Sussman is 1669461646. The last update date is 2007-07-08.
Gary Michael Sussman's current location address is 7624 Forest Glen Way, Lithia Springs, Georgia. You can contact this provider via phone number 6789456636. The mailing address for Gary Michael Sussman is 7624 Forest Glen Way, Lithia Springs, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Michael Sussman |
|---|---|
| Address | 7624 Forest Glen Way, Lithia Springs, Georgia |
| Phone Number | 6789456636 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1669461646 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7624 Forest Glen Way |
|---|---|
| City | Lithia Springs |
| State | Georgia (GA) |
| Post Code | 301226867 |
| Phone Number | 6789456636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2985 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Gary Michael Sussman's 1669461646?
The Gary Michael Sussman's NPI (National Provider Identifier) Number is 1669461646. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gary Michael Sussman is geographically located?
The Gary Michael Sussman is physically situated at the following location: 7624 Forest Glen Way, Lithia Springs, GA, 301226867.
What is Gary Michael Sussman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Michael Sussman is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Gary Michael Sussman receive its 1669461646 assignment from the Centers for Medicare & Medicaid Services?
The Gary Michael Sussman was assigned its 1669461646 by the Centers for Medicare & Medicaid Services on 2005-10-21.
As of what date was the information regarding Gary Michael Sussman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Michael Sussman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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