Susan Nissen is a Clinical in Commack, New York. Susan Nissen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Nissen is 1518015650. The last update date is 2007-07-08.
Susan Nissen's current location address is 25 Wiltshire Dr, Commack, New York. You can contact this provider via phone number 5165214148. The mailing address for Susan Nissen is 25 Wiltshire Dr, Commack, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Nissen |
|---|---|
| Address | 25 Wiltshire Dr, Commack, New York |
| Phone Number | 5165214148 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1518015650 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 Wiltshire Dr |
|---|---|
| City | Commack |
| State | New York (NY) |
| Post Code | 117253330 |
| Phone Number | 5165214148 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 010793-1 |
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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 unique 10-digit identifier code issued to Susan Nissen by the Centers for Medicare & Medicaid Services?
The Susan Nissen has been assigned the NPI (National Provider Identifier) 1518015650 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Susan Nissen located?
The Susan Nissen is located at 25 Wiltshire Dr, Commack, NY 117253330.
What is Susan Nissen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Nissen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1518015650 assigned to Susan Nissen?
The Susan Nissen was issued its 1518015650 on 2007-01-08, 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 details related to Susan Nissen most recently updated or revised?
The information pertaining to Susan Nissen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.