David Ira Suchman in Gainesville - Psychologist
David Ira Suchman - NPI 1104039601
David Ira Suchman is a Psychologist in Gainesville, Florida. David Ira Suchman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David Ira Suchman is 1104039601. The last update date is 2007-10-15.
David Ira Suchman's current location address is 1212 Nw 12th Ave, Gainesville, Florida. You can contact this provider via phone number 3523381212 and fax number 3523928452. The mailing address for David Ira Suchman is 1212 Nw 12th Ave, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Ira Suchman |
|---|---|
| Address | 1212 Nw 12th Ave, Gainesville, Florida |
| Phone Number | 3523381212 |
| Fax Number | 3523928452 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104039601 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 1212 Nw 12th Ave |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326014133 |
| Phone Number | 3523381212 |
| Fax Number | 3523928452 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY 2797 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75210 | FL | BLUE CROSS-BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to David Ira Suchman by the Centers for Medicare & Medicaid Services (CMS)?
The David Ira Suchman has been assigned the NPI (National Provider Identifier) 1104039601. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of David Ira Suchman?
The David Ira Suchman is physically situated at 1212 Nw 12Th Ave, in the city of Gainesville, state of FL, with the postal code 326014133.
What is David Ira Suchman'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 David Ira Suchman is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the David Ira Suchman receive its 1104039601 assignment from the Centers for Medicare & Medicaid Services?
The David Ira Suchman was assigned its 1104039601 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date was the information pertaining to David Ira Suchman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Ira Suchman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-15.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL