Bradley David Sussner in Lyons - Clinical
Bradley David Sussner - NPI 1740294529
Bradley David Sussner is a Clinical in Lyons, New Jersey. Bradley David Sussner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bradley David Sussner is 1740294529. The last update date is 2007-07-08.
Bradley David Sussner's current location address is 151 Knollcroft Rd Bldg 143 # 116a, Lyons, New Jersey. You can contact this provider via phone number 9086470108 and fax number 9086045253. The mailing address for Bradley David Sussner is 151 Knollcroft Rd Bldg 143 # 116a, Lyons, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley David Sussner |
|---|---|
| Address | 151 Knollcroft Rd Bldg 143 # 116a, Lyons, New Jersey |
| Phone Number | 9086470108 |
| Fax Number | 9086045253 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740294529 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 151 Knollcroft Rd Bldg 143 # 116a |
|---|---|
| City | Lyons |
| State | New Jersey (NJ) |
| Post Code | 79395001 |
| Phone Number | 9086470108 |
| Fax Number | 9086045253 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 35S100412600 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Bradley David Sussner by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley David Sussner has been assigned the NPI (National Provider Identifier) 1740294529. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Bradley David Sussner's physical address?
The Bradley David Sussner is physically located at 151 Knollcroft Rd Bldg 143 # 116A, in the city of Lyons, NJ, with the postal code 79395001.
What is Bradley David Sussner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradley David Sussner is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740294529 to Bradley David Sussner?
The Centers for Medicare & Medicaid Services assigned the 1740294529 to Bradley David Sussner on 2006-07-28.
As of what date was the information pertaining to Bradley David Sussner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradley David Sussner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.